Jack And Jill Childcare

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. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #2 may not work in a child care position with direct interaction and routine contact with children at the facility until all missing clearances are completed and on file. ((THIS PORTION OF THE PLAN REQUIRES AN IMMEDIATE CORRECTION.)) 2. The Legal Entity/Director will call the Regional Office to schedule the legal entity and any one responsible for maintaining staff files to participate in the next Existing Provider Training. The Legal Entity and any other appropriate staff will submit documentation to the Northeast Regional Office to confirm that they have attended the training. ((THIS PORTION OF THE PLAN REQUIRES A DATE FOR WHEN THE TRAINING WILL BE ATTENDED.))

CONTINUED NON COMPLIANCE An unannounced inspection occurred at the facility on 11/25/25. A review of staff files was conducted. The CPSL and regulation requires staff to update their clearances at least every 60 months. During this inspection, the updated state police and NSOR clearances for Staff #2 were requested for review as the state police clearance expired on 8/29/25 and the NSOR clearance expired on 9/14/25. Staff #1 indicated the facility did not have the updated clearances and that the facility would request from Staff #2 their updated state police and NSOR clearances. An acceptable plan of correction was received on 12/22/25 that corrections would be made by 3/2/26. An unannounced inspection occurred at the facility on 3/27/26. A review of staff files was conducted. The CPSL and regulation requires staff to update their clearances and mandated reporter training at least every 60 months. Staff #2 had an FBI clearance that was dated for 12/5/20, expired on 12/5/25 and was not updated until 2/2/26. Staff #2 also had mandated reporter training dated for 10/24/20, expired on 10/24/20 and was not updated until 2/10/26. The plan of correction provided by the Legal Entity indicated staff would attend Existing Provider Training by 3/2/26. As of the date of this inspection, no representative of this facility has attended Existing Provider Training at the Region Office.

Corrected by Jun 1, 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 on 3/27/26. A review of staff files was conducted. Regulation requires staff to participate in an updated health assessment at least every 24 months. Staff #3 had a health assessment dated for 3/31/23. Staff #3 did not participate in an updated health assessment at least every 24 months as required by regulation.

Corrected by Apr 10, 2026

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3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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. TIERED LIS: 1. If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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. ((THIS PORTION OF THE PLAN REQUIRES A DATE BY WHICH THE VIOLATIONS WILL BE CORRECTED.)) 2. The legal entity/facility shall have no areas of non-compliance related to the outdoor fencing, visible hazards, or building surfaces for a period of 3 months. This will be monitored through visits occurring at least monthly. ((THIS PORTION OF THE PLAN REQUIRES A DATE AT LEAST 3 MONTHS FROM THE DATE AN ACCEPTABLE PLAN OF CORRECTION IS SUBMITTED TO THE REGIONAL OFFICE.))

CONTINUED NON-COMPLIANCE A renewal inspection occurred at the facility on 8/14/24. A physical site review was conducted. In both bathrooms in the front room, holes were observed in ceiling. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection and children were also observed in this play space during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. Overgrowth of plants and trees on the outside of the fencing was coming through the fence into the children's play area. This overgrowth also appeared to be damaging the fence in areas, as the poles had bent from the overgrowth. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 10/9/24. An unannounced inspection occurred at the facility on 10/31/24. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 11/20/24. An unannounced inspection occurred at the facility on 2/13/25. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 3/5/25. An unannounced inspection occurred at the facility on 4/21/25. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 6/12/25. An unannounced inspection occurred at the facility on 8/21/25. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 10/1/25. An unannounced inspection occurred at the facility on 11/25/25. A physical site verification was conducted. The following violations were observed still uncorrected: In the rear outdoor play area, the fence was found in disrepair. The chain-link fencing was also not attached to the top parallel to the ground poles in three areas near the rear of the play area. These poles are bent up and two are facing in towards the play area. Near the new white fencing, the fence has come lose from the top pole leaving a large unattached area. This play area borders a heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. A wooden shed was observed in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. Broken toys were also observed behind the shed, and gardening tools to the side of the shed. Children were observed in the outdoor play area at the time of this inspection and this play area still contained areas that were not in good repair. All of these areas were identified and discussed with the legal entity at the time of the inspection.

Corrected by Mar 23, 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. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #2 may not work in a child care position with direct interaction and routine contact with children at the facility until all missing clearances are completed and on file. ((THIS PORTION OF THE PLAN REQUIRES AN IMMEDIATE CORRECTION.)) 2. The Legal Entity/Director will call the Regional Office (800-222-2108) to schedule the legal entity and any one responsible for maintaining staff files to participate in the next Existing Provider Training. The Legal Entity and any other appropriate staff will submit documentation to the Northeast Regional Office to confirm that they have attended the training. ((THIS PORTION OF THE PLAN REQUIRES A DATE FOR WHEN THE TRAINING WILL BE ATTENDED.))

An unannounced inspection occurred at the facility on 11/25/25. A review of staff files was conducted. The CPSL and regulation requires staff to update their clearances at least every 60 months. During this inspection, the updated state police and NSOR clearances for Staff #2 were requested for review as the state police clearance expired on 8/29/25 and the NSOR clearance expired on 9/14/25. Staff #1 indicated the facility did not have the updated clearances and that the facility would request from Staff #2 their updated state police and NSOR clearances.

Corrected by Mar 2, 2026

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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.

An unannounced inspection occurred at the facility on 10/16/25. A review of the facility's fire system testing log was conducted. Regulation requires the fire system to be tested at least every 30 days. The following test did not occur at least every 30 days: 9/11/25 and 10/16/25.

Corrected by Oct 16, 2025

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3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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.

CONTINUED NON-COMPLIANCE A renewal inspection occurred at the facility on 8/14/24. A physical site review was conducted. In both bathrooms in the front room, holes were observed in ceiling. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection and children were also observed in this play space during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. Overgrowth of plants and trees on the outside of the fencing was coming through the fence into the children's play area. This overgrowth also appeared to be damaging the fence in areas, as the poles had bent from the overgrowth. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 10/9/24. An unannounced inspection occurred at the facility on 10/31/24. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 11/20/24. An unannounced inspection occurred at the facility on 2/13/25. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 3/5/25. An unannounced inspection occurred at the facility on 4/21/25. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 6/12/25. An unannounced inspection occurred at the facility on 8/21/25. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection.

Corrected by Nov 3, 2025

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3270.14/3270.21 · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10). Until such time as the required training has been completed, staff person #12 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #12, staff person #12 may not work in a child-care position at the facility.

An unannounced inspection occurred at the facility on 4/21/25. See the code sheet for the date of hire. Staff person #12 has not completed the following required pre-service training and was working unsupervised: pediatric first aid/CPR, health and safety training and mandated reporter training.

Corrected by May 6, 2025

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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.

CONTINUED NON-COMPLIANCE An unannounced inspection occurred at the facility during the period of 2/19/25 to 3/19/25. A review of staff files was conducted. See the code sheet for the hire dates of staff. The following staff have been employed at the facility for more than 90 days and the file did not contain documentation that the staff had reviewed the facility's emergency plan as required by regulation: Staff #7, #9, #10 and #11. These staff were observed working in a child care role at the facility during this inspection. An acceptable plan of correction was received on 4/16/25. An unannounced visit occurred at the facility on 4/21/25. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 9 has been employed at the facility for more than 90 days and the file did not contain documentation that the staff had reviewed the facility's emergency plan as required by regulation. Staff #9 was observed working in child care during this inspection. Staff #7, #10 and #11 no longer work at the facility.

Corrected by Jun 12, 2025

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3270.31(f) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Until such time as the required training has been completed, staff person #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

CONTINUED NON-COMPLIANCE An unannounced inspection occurred at the facility between 2/19/25 and 3/19/25. A review of staff files was conducted. See the code sheet for the dates of hire. Staff persons #7, #9, #10 and #11 have not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid/CPR. An acceptable plan of correction was received on 4/16/25. An unannounced inspection occurred at the facility on 4/21/25. A review of staff files was conducted. See the code sheet for the date of hire. Staff #9 has worked at the facility over 90 days and they have not yet completed pediatric first aid/CPR. Staff #9 was observed working in child care during this inspection. Staff #7, #10 and #11 no longer work at the facility.

Corrected by May 6, 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 #9, #12 and #13 may not work in a child care position with direct contact with children at the facility. This portion of the plan shall have an immediate correction date. 2. In order to demonstrate continued compliance, the legal entity will submit complete files for any new hires for a period of three months to the Northeast Regional Office. For provisional hires, requests for appropriate missing clearance may be submitted. During that time, new hires may not begin to work in child care until their file has been approved by the Northeast Regional Office. Submitted files will be reviewed within 1 week of submission. The correction date for this portion of the plan shall reflect a date that is at least 3 months from the date of submission of acceptable plans of correction.

CONTINUED NON-COMPLIANCE A renewal inspection occurred at the facility on 8/14/24. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 did not have a completed child abuse clearance on file prior to working in child care. Staff #5 also did not sign a disclosure statement, have proof of applying for the state police clearance, or proof of applying for the NSOR clearance prior to working with children, and these two completed clearances were not in the file. Staff #5 was observed working unsupervised with children. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #5 is no longer employed at the facility. Staff #6, #7, #8 and #9 were not hired correctly as a provisional hire as required by the CPSL. Staff #6, #7 and #8 did not have documentation in the file that they applied for or received their clearances. Staff #6 had a disclosure statement that was missing a witness signature and a date. Staff #7, #8 and #9 did not have a signed or dated disclosure statement. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. Staff #6 and #8 are no longer employed by the facility. Staff #7 and #9 were working at the facility in child care during this inspection and the file still did not contain a disclosure statement. Staff #7 and #9 also did not have an NSOR clearance on file. Staff #10 and #11 were also working at the facility in a child care role during this inspection. The state police clearance of Staff #7 was listed as under review. Staff #10 and #11 were not hired correctly as a provisional hire. The files were missing documentation of the official clearances or requested documents of clearances for the following clearances: state police, child abuse, FBI and NSOR. The files of Staff #10 and #11 also did not include a signed and dated disclosure statement. An acceptable plan of correction was received on 3/5/24 indicating that staff persons were being removed from care as of 2/13/25. An unannounced inspection occurred at the facility during the period from 2/19/25 to 3/19/25. As of 2/13/25, staff were being removed from a child care position at the facility. As of 2/21/25, Staff #7, #9, #10 and #11 were observed working in a child care position at the facility. Staff files #7 and #9 were still missing an NSOR clearance and signed/dated disclosure statement. The state police clearance of Staff #7 was listed as "Under Review" and did not include a disseminated date. Staff #10 and #11 were not hired correctly as provisional hires. The files were missing documentation of the official clearances or requested documents of clearances for the following clearances: state police, child abuse, FBI and NSOR. The files of Staff #10 and #11 also did not include a signed and dated disclosure statement. The CPSL and regulation requires staff to update their clearances every 60 months. Staff #2 had an NSOR clearance dated for 12/23/19 which expired on 12/23/24. At the time of this inspection, Staff #2 was working in a child care role at the facility and Staff #2 did not update their NSOR clearance. An acceptable plan of correction was received on 4/16/25 that the staff were removed from care. ___________________________________ An unannounced inspection occurred at the facility on 4/21/25. As of 4/16/25, staff were being removed from the facility per the accepted plan of correction. On 4/21/25, Staff #9 was observed still working in a child care position at the facility. The file of Staff #9 was still missing an NSOR clearance and a signed/dated disclosure statement. Staff #7, #10 and #11 no longer work at the facility. Staff #12 and #13 were not hired correctly as provisional hires. The file of Staff #12 was missing a signed/dated disclosure statement and an NSOR clearance. The file of Staff #13 was missing a signed/dated disclosure statement, a child abuse clearance and an NSOR clearance. The file of Staff #13 also indicated this staff has lived out of state within the last 60 months. Per the CPSL, Staff #13 is required to have these out of state clearances on file prior to working in a child care role. Staff #12 and #13 were working in child care at the time of this inspection.

Corrected by May 6, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff person #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

CONTINUED NON-COMPLIANCE A renewal inspection occurred at the facility during the period of 2/19/25 to 3/19/25. A review of staff files was conducted. See the code sheet for the dates of hire. Staff persons #7, #9, #10 and #11 have not completed the mandated reporter training within 90 days of their date of hire. An acceptable plan of correction was received on 4/16/25. An unannounced inspection occurred at the facility on 4/21/25. A review of staff files was conducted. See the code sheet for the date of hire. Staff #9 has not completed mandated reporter training within 90 days of their hire date. Staff #9 was observed working at the time of this inspection. Staff #7, #10 and #11 no longer work at the facility.

Corrected by May 6, 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 NON-COMPLIANCE A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 was observed working unsupervised with children. The file of this staff did not contain education or documentation of experience working with children in order to appropriately qualify this staff to work in a child care role at the facility. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #5 is no longer employed at the facility. Staff #6, #7, #8 and #9 were observed working with children. The files of Staff #6, #7, and #8 did not contain documentation of education or experience working with children in order to appropriately qualify the staff to work in child care roles at the facility. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. Staff #6 and #8 are no longer employed at the facility. Staff #10 and #11 are new staff and both were working in a child care role at the facility during the time of this inspection. The files of Staff #10 and #11 did not contain proof of education or experience working with children in order to appropriately qualify the staff to work in a child care role at the facility. An acceptable plan of correction was received on 3/5/25. An unannounced inspection occurred at the facility on 4/21/25. Staff #12 and #13 are new staff and both were working in a child care role at the facility during this inspection. The files of Staff #12 and #13 did not contain proof of education or experience working with children in order to appropriately qualify the staff to work in a child care role at the facility. Staff #10 and #11 are no longer employed at the facility.

Corrected by Jun 12, 2025

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3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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.

CONTINUED NON-COMPLIANCE A renewal inspection occurred at the facility. A physical site review was conducted. In both bathrooms in the front room, holes were observed in ceiling. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection and children were also observed in this play space during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. Overgrowth of plants and trees on the outside of the fencing was coming through the fence into the children's play area. This overgrowth also appeared to be damaging the fence in areas, as the poles had bent from the overgrowth. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 10/9/24. An unannounced inspection occurred at the facility on 10/31/24. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 11/20/24. An unannounced inspection occurred at the facility on 2/13/25. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 3/5/25. An unannounced inspection occurred at the facility on 4/21/25. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection.

Corrected by Jun 30, 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.

CONTINUED NON-COMPLIANCE A verification visit occurred at the facility on 10/31/24. A review of staff files was conducted. Staff #8 and #9 were observed working in a child care role at the facility. Their files did not contain a completed health assessment prior to working in a child care role at the facility. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. Staff #8 is no longer employed at the facility. Staff #9 and #10 were observed working in a child care role at the facility. Their files did not contain a completed health assessment prior to working in a child care role at the facility. An acceptable plan of correction was obtained on 3/5/25. An unannounced inspection occurred at the facility on 4/21/25. Staff #9 was observed working in a child care role at the facility. The file did not contain a completed health assessment prior to working in a child care role at the facility. Staff #10 is no longer employed at the facility.

Corrected by Jun 12, 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.

CONTINUED NON-COMPLIANCE A renewal inspection occurred at the facility. A review of staff files was conducted. The file of Staff #5 did not contain two letters of written reference. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #5 is no longer employed at the facility. The files of Staff #6, #7 and #8 did not contain two letters of written reference. The file of Staff #9 was missing one letter of written reference. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. Staff #6 and #8 are no longer employed at the facility. The file of Staff #9 was still missing one letter of written reference. The files of Staff # 10 and #11 did not contain two letters of written reference. An acceptable plan of correction was obtained on 3/5/25. An unannounced inspection occurred at the facility on 4/21/25. The files of Staff #12 and #13 did not contain two letters of written references as required by regulation and these staff were observed working in a child care role at the facility during this inspection. Staff #10 and #11 are no longer employed by the facility.

Corrected by Jun 12, 2025

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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.

An unannounced inspection occurred at the facility during the period of 2/19/25 to 3/19/25. A review of staff files was conducted. See the code sheet for the hire dates of staff. The following staff have been employed at the facility for more than 90 days and the file did not contain documentation that the staff had reviewed the facility's emergency plan as required by regulation: Staff #7, #9, #10 and #11. These staff were observed working in a child care role at the facility during this inspection.

Corrected by Apr 25, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person#7, #9, #10 and #11 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 persons #7, #9, #10 and #11, staff persons #7, #9, #10 and #11 may not work in a child-care position at the facility.

An unannounced inspection occurred at the facility during the period of 2/19/25 to 3/19/25. A review of staff files was conducted. See the code sheet for the dates of hire. Staff persons #7, #9, #10 and #11 have not completed the following required pre-service training within 90 days of their date of hire: health and safety training topics. Staff #7, #9, #10 and #11 were observed working in a child care role during this inspection.

Corrected by Apr 25, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff persons #7, #9, #10 and #11 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #7, #9, #10 and #11, staff persons #7, #9, #10 and #11 may not work in a child-care position at the facility. .

A renewal inspection occurred at the facility during the period of 2/19/25 to 3/19/25. A review of staff files was conducted. See the code sheet for the dates of hire. Staff persons #7, #9, #10 and #11 have not completed the mandated reporter training within 90 days of their date of hire.

Corrected by Feb 19, 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. Facility Person #2, #7, #9, #10 and #11 may not work in a child care position at the facility.

A renewal inspection occurred at the facility on 8/14/24. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 did not have a completed child abuse clearance on file prior to working in child care. Staff #5 also did not sign a disclosure statement, have proof of applying for the state police clearance, or proof of applying for the NSOR clearance prior to working with children, and these two completed clearances were not in the file. Staff #5 was observed working unsupervised with children. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #5 is no longer employed at the facility. Staff #6, #7, #8 and #9 were not hired correctly as a provisional hire as required by the CPSL. Staff #6, #7 and #8 did not have documentation in the file that they applied for or received their clearances. Staff #6 had a disclosure statement that was missing a witness signature and a date. Staff #7, #8 and #9 did not have a signed or dated disclosure statement. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. Staff #6 and #8 are no longer employed by the facility. Staff #7 and #9 were working at the facility in child care during this inspection and the file still did not contain a disclosure statement. Staff #7 and #9 also did not have an NSOR clearance on file. Staff #10 and #11 were also working at the facility in a child care role during this inspection. The state police clearance of Staff #7 was listed as under review. Staff #10 and #11 were not hired correctly as a provisional hire. The files were missing documentation of the official clearances or requested documents of clearances for the following clearances: state police, child abuse, FBI and NSOR. The files of Staff #10 and #11 also did not include a signed and dated disclosure statement. An acceptable plan of correction was received on 3/5/24 indicating that staff persons were being removed from care as of 2/13/25. CONTINUED NON-COMPLIANCE. An unannounced inspection occurred at the facility during the period from 2/19/25 to 3/19/25. As of 2/13/25, staff were being removed from a child care position at the facility. As of 2/21/25, Staff #7, #9, #10 and #11 were observed working in a child care position at the facility. Staff files #7 and #9 were still missing an NSOR clearance and signed/dated disclosure statement. The state police clearance of Staff #7 was listed as "Under Review" and did not include a disseminated date. Staff #10 and #11 were not hired correctly as provisional hires. The files were missing documentation of the official clearances or requested documents of clearances for the following clearances: state police, child abuse, FBI and NSOR. The files of Staff #10 and #11 also did not include a signed and dated disclosure statement. The CPSL and regulation requires staff to update their clearances every 60 months. Staff #2 had an NSOR clearance dated for 12/23/19 which expired on 12/23/24. At the time of this inspection, Staff #2 was working in a child care role at the facility and Staff #2 did not update their NSOR clearance.

Corrected by Feb 19, 2025

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Until such time as the required training has been completed, staff persons #7, #9, #10 and #11 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #7, #9, #10 and #11, staff persons #7, #9, #10 and #11 may not work in a child-care position at the facility. The legal entity must submit proof of PQAS-approved pediatric first-aid and pediatric CPR training for any new hires to the Northeast Regional Office within 90 days of hire for the new staff. This proof of training must be submitted for a period of 4 months from the date an acceptable plan of correction is received for new hires.

An unannounced inspection occurred at the facility between 2/19/25 and 3/19/25. A review of staff files was conducted. See the code sheet for the dates of hire. Staff persons #7, #9, #10 and #11 have not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid/CPR.

Corrected by Aug 16, 2025

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Until such time as the required training has been completed, staff persons #7, #9, #10 and #11 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #7, #9, #10 and #11, staff persons #7, #9, #10 and #11 may not work in a child-care position at the facility.

An unannounced inspection occurred at the facility between 2/19/25 and 3/19/25. A review of staff files was conducted. See the code sheet for the dates of hire. Staff persons #7, #9, #10 and #11 have not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid/CPR.

Corrected by Mar 19, 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. Staff person(s) shall complete professional development in the topics of 3270.31(f)(10). Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility from 8/14/22-9/4/22. A review of staff files was conducted. Staff person #1, #2 and #3 had pediatric first-aid/CPR training that was not updated before it expired. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 5/19/22, and the current training completed on 8/22/24 for Staff #1 and #2. An acceptable plan of correction was obtained on 10/9/24. A verification visit occurred at the facility on 10/31/24. At this unannounced visit, it was determined that Staff #3 has not yet updated their pediatric first aid/CPR training. Staff #3 last took this training on 5/19/22. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/24. At this unannounced visit, it was determined that Staff #3 has not yet updated their pediatric first aid/CPR training. Staff #3 last took this training on 5/19/22.

Corrected by Apr 1, 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. Facility Person #7, #9, #10, #11 may not work in a child care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 did not have a completed child abuse clearance on file prior to working in child care. Staff #5 also did not sign a disclosure statement, have proof of applying for the state police clearance, or proof of applying for the NSOR clearance prior to working with children, and these two completed clearances were not in the file. Staff #5 was observed working unsupervised with children. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #5 is no longer employed at the facility. Staff #6, #7, #8 and #9 were not hired correctly as a provisional hire as required by the CPSL. Staff #6, #7 and #8 did not have documentation in the file that they applied for or received their clearances. Staff #6 had a disclosure statement that was missing a witness signature and a date. Staff #7, #8 and #9 did not have a signed or dated disclosure statement. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. Staff #6 and #8 are no longer employed by the facility. Staff #7 and #9 were working at the facility in child care during this inspection and the file still did not contain a disclosure statement. Staff #7 and #9 also did not have an NSOR clearance on file. Staff #10 and #11 were also working at the facility in a child care role during this inspection. The state police clearance of Staff #7 was listed as under review. Staff #10 and #11 were not hired correctly as a provisional hire. The files were missing documentation of the official clearances or requested documents of clearances for the following clearances: state police, child abuse, FBI and NSOR. The files of Staff #10 and #11 also did not include a signed and dated disclosure statement.

Corrected by Feb 13, 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. Facility Person #7, #9, #10 and #11 may not work in a child care position at the facility. The Legal Entity/Director will call the Northeast Daycare 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 Orientation on May 14, 2025. The Legal Entity, Director or any other appropriate staff will submit documentation to the Northeast Daycare Regional Office that they have attended the orientation.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 did not have a completed child abuse clearance on file prior to working in child care. Staff #5 also did not sign a disclosure statement, have proof of applying for the state police clearance, or proof of applying for the NSOR clearance prior to working with children, and these two completed clearances were not in the file. Staff #5 was observed working unsupervised with children. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #5 is no longer employed at the facility. Staff #6, #7, #8 and #9 were not hired correctly as a provisional hire as required by the CPSL. Staff #6, #7 and #8 did not have documentation in the file that they applied for or received their clearances. Staff #6 had a disclosure statement that was missing a witness signature and a date. Staff #7, #8 and #9 did not have a signed or dated disclosure statement. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. Staff #6 and #8 are no longer employed by the facility. Staff #7 and #9 were working at the facility in child care during this inspection and the file still did not contain a disclosure statement. Staff #7 and #9 also did not have an NSOR clearance on file. The state police clearance of Staff #7 was listed as under review. Staff #10 and #11 were also working at the facility in a child care role during this inspection. Staff #10 and #11 were not hired correctly as a provisional hire. The files were missing documentation of the official clearances or requested documents of clearances for the following clearances: state police, child abuse, FBI and NSOR. The files of Staff #10 and #11 also did not include a signed and dated disclosure statement.

Corrected by May 15, 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. Facility Person #7, #9, #10 and #11 may not work in a child care position at the facility. In order to demonstrate continued compliance, the legal entity will submit complete files for any new hires for a period of three months to the Northeast Regional Office. For provisional hires, requests for appropriate missing clearances may be submitted. During that time, new hires may not begin to work in child care until their file has been approved by the Northeast Regional Office. Submitted files will be reviewed within 1 week of submission.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 did not have a completed child abuse clearance on file prior to working in child care. Staff #5 also did not sign a disclosure statement, have proof of applying for the state police clearance, or proof of applying for the NSOR clearance prior to working with children, and these two completed clearances were not in the file. Staff #5 was observed working unsupervised with children. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #5 is no longer employed at the facility. Staff #6, #7, #8 and #9 were not hired correctly as a provisional hire as required by the CPSL. Staff #6, #7 and #8 did not have documentation in the file that they applied for or received their clearances. Staff #6 had a disclosure statement that was missing a witness signature and a date. Staff #7, #8 and #9 did not have a signed or dated disclosure statement. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. Staff #6 and #8 are no longer employed by the facility. Staff #7 and #9 were working at the facility in child care during this inspection and the file still did not contain a disclosure statement. Staff #7 and #9 also did not have an NSOR clearance on file. The state police clearance of Staff #7 was listed as under review. Staff #10 and #11 were also working at the facility in a child care role during this inspection. Staff #10 and #11 were not hired correctly as a provisional hire. The files were missing documentation of the official clearances or requested documents of clearances for the following clearances: state police, child abuse, FBI and NSOR. The files of Staff #10 and #11 also did not include a signed and dated disclosure statement.

Corrected by Jun 3, 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 was observed working unsupervised with children. The file of this staff did not contain education or documentation of experience working with children in order to appropriately qualify this staff to work in a child care role at the facility. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #5 is no longer employed at the facility. Staff #6, #7, #8 and #9 were observed working with children. The files of Staff #6, #7, and #8 did not contain documentation of education or experience working with children in order to appropriately qualify the staff to work in child care roles at the facility. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. Staff #6 and #8 are no longer employed at the facility. Staff #10 and #11 are new staff and both were working in a child care role at the facility during the time of this inspection. The files of Staff #10 and #11 did not contain proof of education or experience working with children in order to appropriately qualify the staff to work in a child care role at the facility.

Corrected by Apr 1, 2025

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3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A renewal inspection occurred at the facility. A physical site review was conducted. In both bathrooms in the front room, holes were observed in ceiling. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection and children were also observed in this play space during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. Overgrowth of plants and trees on the outside of the fencing was coming through the fence into the children's play area. This overgrowth also appeared to be damaging the fence in areas, as the poles had bent from the overgrowth. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 10/9/24. An unannounced inspection occurred at the facility on 10/31/24. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 11/20/24. An unannounced inspection occurred at the facility on 2/13/25. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection.

Corrected by Apr 1, 2025

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

A renewal inspection occurred at the facility. A physical site review was conducted. In the sink cabinet, in the front room of the facility, rodent feces were found. This area was identified and addressed with staff at the time of the inspection. An acceptable plan of correction was received on 10/9/24. An unannounced inspection occurred at the facility on 10/31/24. A physical site verification was conducted. In the sink cabinet, in the front room of the facility, rodent feces were found. This area was identified and addressed with staff at the time of the inspection. An acceptable plan of correction was received on 11/20/24. An unannounced inspection occurred at the facility on 2/13/25. A physical site verification was conducted. In the sink cabinet, in the front room of the facility, rodent feces were found. This area was identified and addressed with staff at the time of the inspection.

Corrected by Apr 1, 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.

A verification visit occurred at the facility on 10/31/24. A review of staff files was conducted. Staff #8 and #9 were observed working in a child care role at the facility. Their files did not contain a completed health assessment prior to working in a child care role at the facility. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. Staff #8 is no longer employed at the facility. Staff #9 and #10 were observed working in a child care role at the facility. Their files did not contain a completed health assessment prior to working in a child care role at the facility.

Corrected by Apr 1, 2025

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3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A verification visit occurred at the facility on 10/31/24. A review of staff files was conducted. Staff #8 and #9 were observed working in a child care role at the facility. Their files did not contain a results of a tuberculosis screening prior to working in a child care role at the facility. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. A review of staff files was conducted. Staff #8 is no longer employed at the facility. Staff #10 was observed working in a child care role at the facility. Their file did not contain the results of a tuberculosis screening prior to working in a child care role at the facility.

Corrected by Apr 1, 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. The file of Staff #5 did not contain two letters of written reference. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #5 is no longer employed at the facility. The files of Staff #6, #7 and #8 did not contain two letters of written reference. The file of Staff #9 was missing one letter of written reference. An acceptable plan of correction was received on 11/20/24. A verification visit occurred at the facility on 2/13/25. Staff #6 and #8 are no longer employed at the facility. The file of Staff #9 was still missing one letter of written reference. The files of Staff # 10 and #11 did not contain two letters of written reference.

Corrected by Apr 1, 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. Staff person(s) shall complete professional development in the topics of 3270.31(f)(10). Staff person #3 will have until 11/15/24 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility from 8/14/22-9/4/22. A review of staff files was conducted. Staff person #1, #2 and #3 had pediatric first-aid/CPR training that was not updated before it expired. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 5/19/22, and the current training completed on 8/22/24 for Staff #1 and #2. An acceptable plan of correction was obtained on 10/9/24. A verification visit occurred at the facility on 10/31/24. At this unannounced visit, it was determined that Staff #3 has not yet updated their pediatric first aid/CPR training. Staff #3 last took this training on 5/19/22.

Corrected by Nov 15, 2024

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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. Facility Person #5, #6, #7, #8 and #9 may not work in a child care position at the facility. The Legal Entity/Director will call the Northeast Daycare 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 Orientation on February 12, 2025. The Legal Entity, Director or any other appropriate staff will submit documentation to the Northeast Daycare Regional Office that they have attended the orientation.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 did not have a completed child abuse clearance on file prior to working in child care. Staff #5 also did not sign a disclosure statement, have proof of applying for the state police clearance, or proof of applying for the NSOR clearance prior to working with children, and these two completed clearances were not in the file. Staff #5 was observed working unsupervised with children. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #6, #7, #8 and #9 were not hired correctly as a provisional hire as required by the CPSL. Staff #6, #7 and #8 did not have documentation in the file that they applied for or received their clearances. Staff #6 had a disclosure statement that was missing a witness signature and a date. Staff #7, #8 and #9 did not have a signed or dated disclosure statement.

Corrected by Feb 12, 2025

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3270.32(a)/3270.192(4) · he 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 #5, #6, #7, #8 and #9 may not work in a child care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 did not have a completed child abuse clearance on file prior to working in child care. Staff #5 also did not sign a disclosure statement, have proof of applying for the state police clearance, or proof of applying for the NSOR clearance prior to working with children, and these two completed clearances were not in the file. Staff #5 was observed working unsupervised with children. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #6, #7, #8 and #9 were not hired correctly as a provisional hire as required by the CPSL. Staff #6, #7 and #8 did not have documentation in the file that they applied for or received their clearances. Staff #6 had a disclosure statement that was missing a witness signature and a date. Staff #7, #8 and #9 did not have a signed or dated disclosure statement.

Corrected by Oct 31, 2024

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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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 was observed working unsupervised with children. The file of this staff did not contain education or documentation of experience working with children in order to appropriately qualify this staff to work in a child care role at the facility. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. Staff #6, #7, #8 and #9 were observed working with children. The files of Staff #6, #7, and #8 did not contain documentation of education or experience working with children in order to appropriately qualify the staff to work in child care roles at the facility.

Corrected by Nov 21, 2024

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3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A renewal inspection occurred at the facility. A physical site review was conducted. In both bathrooms in the front room, holes were observed in ceiling. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection and children were also observed in this play space during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. Overgrowth of plants and trees on the outside of the fencing was coming through the fence into the children's play area. This overgrowth also appeared to be damaging the fence in areas, as the poles had bent from the overgrowth. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection. An acceptable plan of correction was received on 10/9/24. An unannounced inspection occurred at the facility on 10/31/24. A physical site verification was conducted. The following violations were observed still uncorrected. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. All of these areas were identified and discussed with the legal entity at the time of the inspection.

Corrected by Nov 29, 2024

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

A renewal inspection occurred at the facility. A physical site review was conducted. In the sink cabinet, in the front room of the facility, rodent feces were found. This area was identified and addressed with staff at the time of the inspection. An acceptable plan of correction was received on 10/9/24. An unannounced inspection occurred at the facility on 10/31/24. A physical site verification was conducted. In the sink cabinet, in the front room of the facility, rodent feces were found. This area was identified and addressed with staff at the time of the inspection.

Corrected by Nov 29, 2024

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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.

A verification visit occurred at the facility on 10/31/24. A review of staff files was conducted. Staff #8 and #9 were observed working in a child care role at the facility. Their files did not contain a completed health assessment prior to working in a child care role at the facility.

Corrected by Nov 22, 2024

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3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A verification visit occurred at the facility on 10/31/24. A review of staff files was conducted. Staff #8 and #9 were observed working in a child care role at the facility. Their files did not contain a results of a tuberculosis screening prior to working in a child care role at the facility

Corrected by Nov 22, 2024

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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.

A renewal inspection occurred at the facility. A review of staff files was conducted. The file of Staff #5 did not contain two letters of written reference. An acceptable plan of correction was received on 10/9/24. A verification visit occurred at the facility on 10/31/24. The files of Staff #6, #7 and #8 did not contain two letters of written reference. The file of Staff #9 was missing one letter of written reference.

Corrected by Nov 22, 2024

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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 trainings are completed, staff persons #1, #2 and #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1, #2 and #5, staff persons #1, #2 and #5 may not work in a child care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #5 has not completed the following required pre-service training, is within 90 days of their hire date, but was observed working unsupervised on 8/14/24 (see LIS code sheet for date of hire): pediatric first aid/CPR. Staff person #1 and #2 were observed to be caring for children unsupervised. Staff person #1 and #2 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 5/19/22.

Corrected by Sep 25, 2024

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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.

A renewal inspection occurred at the facility from 8/14/22-9/4/22. A review of staff files was conducted. Staff person #1, #2 and #3 had pediatric first-aid/CPR training that was not updated before it expired. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 5/19/22, and the current training completed on 8/22/24 for Staff #1 and #2.

Corrected by Oct 10, 2024

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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. Facility Person #5 may not work in a child care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 did not have a completed child abuse clearance on file prior to working in child care. Staff #5 also did not sign a disclosure statement, have proof of applying for the state police clearance, or proof of applying for the NSOR clearance prior to working with children, and these two completed clearances were not in the file. Staff #5 was observed working unsupervised with children.

Corrected by Sep 25, 2024

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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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 was observed working unsupervised with children. The file of this staff did not contain education or documentation of experience working with children in order to appropriately qualify this staff to work in a child care role at the facility.

Corrected by Oct 7, 2024

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #1, #2, #3 and #4 all had staff evaluations conducted in July of 2023 but did not have an evaluation conducted again until August of 2024. These evaluations were not conducted on an annual basis.

Corrected by Sep 25, 2024

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3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A renewal inspection occurred at the facility. A physical site review was conducted. In both bathrooms in the front room, holes were observed in ceiling. A renewal inspection occurred at the facility. A physical site review was conducted. In both bathrooms in the front room, holes were observed in ceiling. In the rear outdoor play area, the fence was found in disrepair. Orange construction fencing was used to connect an area where chain link fencing was at one time. This orange construction fencing was not secured and could easily be moved, which did not restrict a child from leaving the play area. The area of this fencing borders the heavily traveled driveway/parking lot to the business next door. Traffic was observed during this inspection and children were also observed in this play space during this inspection. Poles in the chain-link fencing also were no longer securely attached throughout. The chain-link fencing was also not attached to the poles in areas. Overgrowth of plants and trees on the outside of the fencing was coming through the fence into the children's play area. This overgrowth also appeared to be damaging the fence in areas, as the poles had bent from the overgrowth. A wooden shed was also found in the rear right of the play area that was accessible to children. This shed had exposed sharp nails on the front left corner. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. This hole posed a hazard for tripping or injury. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection. In the front outdoor play area, a hole was found at the bottom of the wooden deck stairs. Children were also observed in this play area at the time of this inspection. All of these areas were identified and discussed with the legal entity at the time of the inspection.

Corrected by Oct 18, 2024

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

A renewal inspection occurred at the facility. A physical site review was conducted. In the sink cabinet, in the front room of the facility, rodent feces were found. This area was identified and addressed with staff at the time of the inspection.

Corrected by Oct 11, 2024

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

A renewal inspection occurred at the facility. A physical site review was conducted. In the front room, left bathroom, peeling paint was found behind the toilet. This area was identified and addressed with staff at the time of the inspection.

Corrected by Oct 11, 2024

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

A renewal inspection occurred at the facility. A physical site review was conducted in the outdoor play area. A triangle Little Tikes climber was found to have cracked and broken steps. A Little Tikes picnic table was also found with a crack on the top corner. These items were identified and addressed with staff at the time of the inspection.

Corrected by Oct 18, 2024

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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.

A renewal inspection occurred at the facility. A review of staff files was conducted. The file of Staff #5 did not contain two letters of written reference.

Corrected by Oct 7, 2024

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3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

During a staff interview on 2/29/24, Staff person #1 admitted that she restrains children by buckling them into highchairs for time out.

Corrected by Feb 29, 2024

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3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must update or create a policy regarding appropriate discipline of children at the facility. The policy must include appropriate ways to manage behavior, as well as the prohibition of using equipment to restrain children for punishment. The legal entity will submit this updated policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policy and it must be documented at the facility.

During a staff interview on 2/29/24, Staff person #1 admitted that she restrains children by buckling them into highchairs for time out.

Corrected by Mar 26, 2024

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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 conducted every 60 days as evidenced by the following logs that were on file: 5/5/23 to 7/5/23 and 7/5/23 to 9/5/23.

Corrected by Feb 29, 2024

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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.

The fire detection system was not tested every 30 days as evidenced by the following logs that were on file: 3/6/23 to 4/10/23, 4/10/23 to 6/5/23, 8/4/23 to 9/5/23, 9/5/23 to 10/6/23, 12/2/23 to 1/4/24, and 1/4/24 to 2/7/24.

Corrected by Mar 8, 2024

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3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

During the inspection, there was no visual identification on the glass located at the front entrance and side door.

Corrected by Aug 16, 2023

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3270.20(e)/3270.182(7) · Copies of reports of injury, death or fire shall be kept in a file at the facility. 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.

During the inspection, the operator admitted that the copies of accidents, injuries and illnesses involving a child in care are not kept in an accident file at the facility.

Corrected by Aug 15, 2023

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

During the inspection, staff person #3 did not have an annual written evaluation on file and has been employed for more than one year (see LIS code sheet for date of hire).

Corrected by Aug 15, 2023

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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.

During the inspection, staff person #3 had only a transcript of completion of 11th grade education, not a high school diploma on file and therefore could not be qualified as an assistant group supervisor.

Corrected by Aug 15, 2023

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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). The required staff:child ratios must be maintained at all times.

During the inspection, in the toddler room, there were 12 children with the youngest child being of young toddler age. Staff person #1 named 6 children that she had in her care. Staff person #4 named 6 children in her care. Staff person #6 did not name any children in her care. With the ages of the children in the classroom, the staff are required to follow the 1:5 ratio. Staff person #6 would occasionally walk in and out of the classroom. Staff person #1 would also walk out of the toddler room and into the kitchen to obtain the kids' lunches. Whenever there were only 2 staff members in the room, this room was out of ratio.

Corrected by Aug 15, 2023

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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.

During the inspection, there were cans of paint on the floor in the office. There was hand sanitizer next to the sink in the preschool room. There was bags of ice melt and a sprayer with the label "Round Up" on the front porch. There were lotions in the bottom shelves of the changing table in the toddler room. There was a bottle of Clorox bleach and OdoBan hanging from a shelf above the sink in the school age room. All of these items were accessible to children.

Corrected by Aug 15, 2023

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

During the inspection, the water in the preschool and toddler rooms measured 121° F.

Corrected by Aug 30, 2023

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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 inspection, in the school age/preschool room the WII cords were hanging from a hook which were plugged into an extension cord. The television that this was plugged into was not secured to a surface, The other television in the room which was above the children's head level had cords hanging which poses a hazard to children. In the toddler room, the baseboard heater cover was broken off exposing the metal coils. The television was located above the children's heads and was not mounted to a surface. There was water damage ceiling tiles above the sink in the toddler room.

Corrected by Sep 22, 2023

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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 inspection, there was peeling paint on the baseboard under the library nook in the school age room. There was peeling paint on the pipes next to the library nook. there was peeling paint on the teal shelf and along the edge of the shelf in the school age room.

Corrected by Sep 29, 2023

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3270.82(g)/3270.82(h) · Toilet areas and fixtures shall be cleaned daily and be in good repair. 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 inspection, the toilet area in the school age/preschool room smelled of urine and had a dried urine stain on the floor. There were no handwashing signs in any of the toileting areas.

Corrected by Aug 15, 2023

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3270.111(a)/3270.111(c) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. 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.

During the inspection, the written daily plan that was posted in the toddler room was for school age children and not specific to those children in care. In both of the preschool/school age room and toddler rooms, from 9am to 12:00pm, children did not follow a written plan of daily activities and routines which allowed for the development of skills, social competence and self-esteem. The operator admitted that the children have free time during the entire day.

Corrected by Aug 16, 2023

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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. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding supervision of children and ratios. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During the inspection, in both the preschool and toddlers room, the staff would walk out of the rooms and not be physically present with the children they were responsible for.

Corrected by Oct 7, 2023

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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. Children must be supervised at all times.

During the inspection, in both the preschool and toddlers room, the staff would walk out of the rooms and not be physically present with the children they were responsible for.

Corrected by Aug 16, 2023

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3270.121(a)/3270.121(b) · The operator shall review with the parent, at the time of application, 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, 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.

During the inspection, in the parent handbook, there is no written policy identifying supervision policies.

Corrected by Aug 16, 2023

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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.

During the inspection, the emergency contact form for child #5 did not include written consent signed by a parent for emergency medical care.

Corrected by Aug 15, 2023

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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.

During the inspection, child #5's emergency contact form did not include the address of the individual designated by the parent to whom the child may be released.

Corrected by Aug 15, 2023

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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.

During the inspection, in the toddler room, staff person #4 admitted that they did not have the emergency contact form for a new child who started 2 days prior and was present in the room. In the preschool/school age room, there were no emergency contact forms for the children present in the classroom. The operator stated that they were kept in the office.

Corrected by Aug 15, 2023

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3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #5 must be dismissed from care by close of business on 8/15/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During the renewal inspection, child #5 did not have the following immunizations: DTAP #4, HIB #4, PNUEMOCOCCAL #4, INFLUENZA and HEP A#2. The child is not immunized according to recommendations of the ACIP.

Corrected by Aug 16, 2023

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3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

During the inspection, there was no verification or documentation showing that the children's diapers are checked every 2 hours.

Corrected by Aug 16, 2023

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3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

During the inspection, the children's lunchboxes were on a counter in the kitchen area. Inside these lunch boxes contained perishable items such as cheese sticks, chicken nuggets, etc. These items require refrigeration.

Corrected by Aug 16, 2023

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

During the inspection, there was no menu posted showing what snacks were being served to the children while in care.

Corrected by Aug 16, 2023

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3270.171(b)/3270.171(c) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

During the inspection, pick up and drop off procedures and safe routes were not posted in the facility.

Corrected by Aug 15, 2023

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the inspection, there was no documentation of emergency drills being conducted annually.

Corrected by Sep 5, 2023

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

During the inspection, staff person #4 only had 2 hours of training during the 2/22-2/23 training period. Staff person #5 only had 2 hours of training during the 11/21-11/22 training period.

Corrected by Sep 29, 2023

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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.

During the inspection, the operator did not have annual documentation that the local traffic safety authorities are notified 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 by Aug 23, 2023

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3270.75(a) · A first-aid kit shall be in a child care space.

During the inspection, staff person # 3 had stated that first aid kits do not accompany staff when children are on the playground.

Corrected by Mar 10, 2023

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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 inspection, there was chipped red paint on the wooden heater covers throughout the facility. There was chipped green paint by the door leading to the playground.

Corrected by Mar 13, 2023

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3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

During the inspection, there was no visual identification or strip on the glass door leading to the playground.

Corrected by Mar 13, 2023

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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.

During the inspection, the last fire drill conducted was documented on October 2022 and not conducted at least once every 60 days as required.

Corrected by Mar 10, 2023

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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. The provider's written policy must include, but is not limited to recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child; and addressing the prevention and identification of child maltreatment.

During the inspection, the provider did not have a written policy that includes, but is not limited to recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child; and addressing the prevention and identification of child maltreatment.

Corrected by Mar 17, 2023

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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. The operator shall update the sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

During the inspection, the emergency plan did not address volunteer emergency preparedness training, practice drills, and continuity of operations.

Corrected by Mar 17, 2023

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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.

During the inspection, the emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The emergency plan did not include 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.

Corrected by Mar 17, 2023

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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.

During the inspection, staff person #1 and staff person #2 were not trained in the facility's emergency plan.

Corrected by Mar 17, 2023

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3270.31(f) · Staff person #1 and staff person #2 shall complete the required one-hour 2022 update to the health and safety training by 3/24/23.

During the inspection, staff person #1 and staff person #2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected by Mar 10, 2023

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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. Staff person #1 and staff person #2 may not work in a child care position at the facility. Facility person #7 may not be in the child care facility while children are present.

During the inspection, staff person #1 did not have a completed NSOR certificate on file. Staff person #1, who lived in New Jersey within the previous 5 years did not have clearances for New Jersey on file. Staff person #1 has been employed at the facility for more than 45 days. (See LIS code sheet for date of hire). Staff person #2 did not have a completed NSOR certificate on file and has been employed at the facility for more than 45 days. (See LIS code sheet for date of hire). Staff person # 4 and staff person #5 did not have signed disclosure statements on file. Facility person #7 did not have any clearances on file.

Corrected by Mar 6, 2023

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3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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 inspection, the ceiling tiles in the school age room were water damaged. In the toddler room, on the red heater cover, used staples were observed laying on top of the cover. This poses a hazard to children who are still putting items in their mouth. The white gate leading into the sandy play area, a hole in the ground was observed causing a tripping hazard. A tree limb had recently broken off and was laying in the play area posing a hazard to the children.

Corrected by Mar 31, 2023

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

During the inspection, the wooden play equipment located on the playground was weathered and splintered. The yellow metal ride on car on playground contained rust and chipped paint. The plastic play structure on the playground had a step that was previously broken and duct-taped. When pressure was applied to this step, sharp plastic pieces became exposed. These are all identified as hazards to children.

Corrected by Mar 31, 2023

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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.

During the inspection, in the school age room, the red sofa was torn and exposing the inside foam.

Corrected by Mar 6, 2023

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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.

During the inspection, in all childcare spaces, emergency contact forms were not present for children receiving care in that space.

Corrected by Mar 10, 2023

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3270.151(a)/3270.151(c)(2) · 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. 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.

During the inspection, facility person #6 who is a regular volunteer did not have a health assessment with tuberculosis screening by the Mantoux method on file.

Corrected by Mar 24, 2023

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3270.191 · An individual record is required for each facility person.

During the inspection, facility person #7 did not have a file on site. Staff person #1, staff person #2, staff person #3 and child #1 have stated that staff person #7 comes into the facility to complete business paperwork and interacts with children numerous times during the week.

Corrected by Mar 6, 2023

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During the inspection, the emergency plan did not include a section that provides for accommodations for toddlers and children with disabilities, and children with chronic medical conditions.

Corrected by Mar 17, 2023

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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.

During the inspection, the last manual monthly monitoring of the fire detection system was documented on October 2022 and not every 30 days as required. The facility is not in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c).

Corrected by Mar 6, 2023

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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.

During the inspection, the operator stated that she did not send a copy of the emergency plan to both the local municipality and county emergency management agencies for review and there was no documentation on file that the emergency plans were submitted for review.

Corrected by Mar 20, 2023

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