3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

2nd citation. Previously cited on 5/21/25. Based on interviews, Child #1 exited the facility unbeknownst to staff. When Staff #1 was interviewed, Staff #1 indicated staff and children prepared to go to the outdoor play space between 10:20 and 10:30 AM. Staff #1 indicated he/she helped children put on their coats and shoes and replaced a child's blanket in the cubby before going towards the rear exit. Staff #1 indicated as he/she approached the exit, Staff #2 brought Child #1 into the center after being returned by an unknown person. Staff #1 stated Child #1 was assigned to Staff #2 and was unsure how long Child #1 was outside. When Staff #2 was interviewed, Staff #2 indicated the children started cleaning up to go outside to the play space between 9:50 and 9:55 AM. Staff #2 indicated when children were done putting away the toys, staff helped children with putting on their coats and shoes. Staff #2 indicated while counting children in the room, a person knocked on the rear exit around 10:05 AM and returned Child #1. Staff #2 indicated the person stated he/she found Child #1 outside, but the person did not specify where. Staff #2 stated he/she was assigned Child #1. When Staff #3 was interviewed, Staff #3 indicated staff and children prepare to go outside to the play space at 10:00 AM, but they do not go outside until approximately 10:15 AM until staff put on children's shoes and apply sunscreen to the children. Staff #3 indicated he/she saw a person at the back door and told Staff #2. Staff #3 indicated Staff #2 answered the door and realized the person had Child #1. Staff #3 indicated Staff #2 was assigned Child #1. Staff #3 indicated Child #1 was returned to the center at approximately 10:17 AM. In a previous plan of correction, the legal entity indicated staff would complete training through Better Kid Care regarding supervision and ratio. At the time of the inspection Staff #1 had completed 4 of the 6 supervision and ratio trainings completed by the other staff.

Corrected Corrected by Sep 9, 2025

Category: supervision. Marked corrected in the state record.

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

The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, or distraught child, but the policy did not address the prevention and identification of child maltreatment.

Corrected Corrected by Jun 13, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(3) · 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 did not 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.

Corrected Corrected by Jun 9, 2025

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed exposed screws on the siding on the back wall by the basketball hoop in the outdoor play space.

Corrected Corrected by Jun 10, 2025

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

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

The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jun 9, 2025

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file of Staff #2 lacked documentation of completing pediatric first aid/CPR from a PQUAS approved trainer and a PQUAS approved curriculum within 90 days of their date of hire (SEE LIS Code Sheet). The file of Staff #2 contained documentation of completing pediatric first aid and CPR on 4/12/24. The file of Staff #2 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #2 contained documentation of completing health and safety training on 5/1/24.

Corrected Corrected by May 21, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file of Staff #1 lacked a National Sex Offender Registry Certificate updated every 60 months. The file of Staff #1 contained a NSOR dated 3/12/25 with a previous one dated 2/24/20.

Corrected Corrected by Jun 9, 2025

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Observed Baby Oilogic Slumber and Sleep Essential Oil Linen Mist which indicated "keep out of the reach of children" in a black backpack located in a cubby outside of the Infant Room which was accessible to children.

Corrected Corrected by Jun 9, 2025

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first-aid kit in the Infant Room lacked the following: soap, tweezers, tape, scissors, and disposable, nonporous gloves.

Corrected Corrected by Jun 9, 2025

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Observed rest equipment not labeled for the use of a specific child in the Young Toddler Room and the Preschool Room.

Corrected Corrected by Jun 6, 2025

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information was not present in the Infant Room for the children receiving care in the space.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The file of Child #1, a 17-month-old, lacked Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 3 Pneumococcal immunizations.

Corrected Corrected by Jun 19, 2025

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file of Staff #2 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a health assessment dated 11/30/23. The file of Staff #3 lacked a health assessment conducted every 24 months. The file of Staff #3 contained a current health assessment dated 5/2/24 with a previous one dated 4/28/22. The file of Staff #4 lacked a health assessment conducted every 24 months. The file of Staff #4 contained a current health assessment dated 4/10/25 with a previous one dated 7/28/22.

Corrected Corrected by May 21, 2025

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file of Staff #5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #5 contained one written, nonfamily reference.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Corrected Corrected by Jun 10, 2025

Marked corrected in the state record.

3270.34(a)(3) · A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

Based on interviews, staff were unaware of a staff person who was responsible for compliance with this chapter in the Director's absence.

Corrected Corrected by Aug 9, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Based on interviews, Child #1 exited the facility unbeknownst to staff. When Staff #1 was interviewed, Staff #1 indicated staff and children prepared to go to the outdoor play space between 10:20 and 10:30 AM. Staff #1 indicated he/she helped children put on their coats and shoes and replaced a child's blanket in the cubby before going towards the rear exit. Staff #1 indicated as he/she approached the exit, Staff #2 brought Child #1 into the center after being returned by an unknown person. Staff #1 stated Child #1 was assigned to Staff #2 and was unsure how long Child #1 was outside. When Staff #2 was interviewed, Staff #2 indicated the children started cleaning up to go outside to the play space between 9:50 and 9:55 AM. Staff #2 indicated when children were done putting away the toys, staff helped children with putting on their coats and shoes. Staff #2 indicated while counting children in the room, a person knocked on the rear exit around 10:05 AM and returned Child #1. Staff #2 indicated the person stated he/she found Child #1 outside, but the person did not specify where. Staff #2 stated he/she was assigned Child #1. When Staff #3 was interviewed, Staff #3 indicated staff and children prepare to go outside to the play space at 10:00 AM, but they do not go outside until approximately 10:15 AM until staff put on children's shoes and apply sunscreen to the children. Staff #3 indicated he/she saw a person at the back door and told Staff #2. Staff #3 indicated Staff #2 answered the door and realized the person had Child #1. Staff #3 indicated Staff #2 was assigned Child #1. Staff #3 indicated Child #1 was returned to the center at approximately 10:17 AM.

Corrected Corrected by Aug 5, 2025

Category: ratio. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Based on interviews, Child #1 exited the facility unbeknownst to staff. When Staff #1 was interviewed, Staff #1 indicated staff and children prepared to go to the outdoor play space between 10:20 and 10:30 AM. Staff #1 indicated he/she helped children put on their coats and shoes and replaced a child's blanket in the cubby before going towards the rear exit. Staff #1 indicated as he/she approached the exit, Staff #2 brought Child #1 into the center after being returned by an unknown person. Staff #1 stated Child #1 was assigned to Staff #2 and was unsure how long Child #1 was outside. When Staff #2 was interviewed, Staff #2 indicated the children started cleaning up to go outside to the play space between 9:50 and 9:55 AM. Staff #2 indicated when children were done putting away the toys, staff helped children with putting on their coats and shoes. Staff #2 indicated while counting children in the room, a person knocked on the rear exit around 10:05 AM and returned Child #1. Staff #2 indicated the person stated he found Child #1 outside, but the person did not specify where. Staff #2 stated he/she was assigned Child #1. When Staff #3 was interviewed, Staff #3 indicated staff and children prepare to go outside to the play space at 10:00 AM, but they do not go outside until approximately 10:15 AM until staff put on children's shoes and apply sunscreen to the children. Staff #3 indicated he/she saw a person at the back door and told Staff #2. Staff #3 indicated Staff #2 answered the door and realized the man had Child #1. Staff #3 indicated Staff #2 was assigned Child #1. Staff #3 indicated Child #1 was returned to the center at approximately 10:17 AM.

Corrected Corrected by Jul 15, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Based on interviews, Child #1 exited the facility unbeknownst to staff. When Staff #1 was interviewed, Staff #1 indicated staff and children prepared to go to the outdoor play space between 10:20 and 10:30 AM. Staff #1 indicated he/she helped children put on their coats and shoes and replaced a child's blanket in the cubby before going towards the rear exit. Staff #1 indicated as he/she approached the exit, Staff #2 brought Child #1 into the center after being returned by an unknown person. Staff #1 stated Child #1 was assigned to Staff #2 and was unsure how long Child #1 was outside. When Staff #2 was interviewed, Staff #2 indicated the children started cleaning up to go outside to the play space between 9:50 and 9:55 AM. Staff #2 indicated when children were done putting away the toys, staff helped children with putting on their coats and shoes. Staff #2 indicated while counting children in the room, a person knocked on the rear exit around 10:05 AM and returned Child #1. Staff #2 indicated the person stated he/she found Child #1 outside, but the person did not specify where. Staff #2 stated he/she was assigned Child #1. When Staff #3 was interviewed, Staff #3 indicated staff and children prepare to go outside to the play space at 10:00 AM, but they do not go outside until approximately 10:15 AM until staff put on children's shoes and apply sunscreen to the children. Staff #3 indicated he/she saw a person at the back door and told Staff #2. Staff #3 indicated Staff #2 answered the door and realized the person had Child #1. Staff #3 indicated Staff #2 was assigned Child #1. Staff #3 indicated Child #1 was returned to the center at approximately 10:17 AM.

Corrected Corrected by Aug 6, 2025

Category: supervision. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed 1 pack 'n play with a loose sheet in the Young Infant Room creating a potential suffocation hazard. Observed 2 pack 'n plays with loose sheets in the Older Infant Room creating a potential suffocation hazard.

Corrected Corrected by Oct 29, 2024

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file of Staff #2 lacked a dated disclosure statement.

Corrected Corrected by Oct 28, 2024

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

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

Observed an electrical outlet to the left of the changing table located by the bathrooms which lacked a protective receptacle cover. Observed an electrical outlet to the right of the pack 'n plays in the Older Infant Room which lacked a protective receptacle cover.

Corrected Corrected by Oct 28, 2024

Marked corrected in the state record.

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

Observed peeling paint on the fence to the right of the gate leading to the outdoor play space.

Corrected Corrected by Oct 29, 2024

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

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

Observed 3 cracked magna tiles with exposed magnets in the Preschool Room.

Corrected Corrected by Oct 28, 2024

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file of Staff #1 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #1 contained a health assessment dated 8/6/24.

Corrected Corrected by Oct 28, 2024

Category: ratio. Marked corrected in the state record.

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

Observed in the preschool room, 3 broken Magni-Tiles.

Corrected Corrected by Jun 3, 2024

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The files of children #1 and #2 lacked emergency contact forms with the full, complete work addresses of the enrolling parents.

Corrected Corrected by Jun 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed in the preschool room on the purple wall near the entrance to the school age room, flaking plaster. Observed in the preschool room on the green wall near the "car center" flaking plaster.

Corrected Corrected by Jun 6, 2024

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The file of staff #1 lacked documentation of completing Fire Safety training.

Corrected Corrected by Jun 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(2)(ii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file of staff #2 had documentation of completing Mandated Reporter training more than 90 from initial hire due to the fact it was dated 4-27-24, (see LIS CODE sheet).

Corrected Corrected by Jun 4, 2024

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the inspection, there was not a first aid kit present in the school space where 5 school age children were observed in care.

Corrected Corrected by Jun 3, 2024

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

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Observed an Epi Pen for child #1 but no medication log.

Corrected Corrected by Jun 10, 2024

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

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

The smoke detection testing log indicated testing more than 30 days apart due to the fact the dates were 2-2-24 and 3-13-24 which is 40 days.

Corrected Corrected by Jun 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file of child #2 had a health assessment on file. However, the document was not dated. Therefore, it could not be assessed for timeliness.

Corrected Corrected by Jun 4, 2024

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

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

At the time of reviewing the Emergency Plan, it lacked a Continuity of Operations.

Corrected Corrected by Jun 7, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file of staff #1 had documentation of completing Mandated Reporter training more than 60 months apart due to the fact the documents were dated 9-16-21 and 9-3-15.

Corrected Corrected by Sep 16, 2021

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed the following in the playground: a white section of fence located along the back adjacent with the tan building was detached causing a pinch or crush hazard; the bottom half of the white fence located at the corner near the sandbox was cracked causing a pinch or crush hazard; and the green carpet was not secure across the width of the playground, causing a tripping hazard.

Corrected Corrected by Jun 7, 2023

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

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

Observed child #1 sitting in a Baby Trend brand highchair, not secured based on the manufacturer's guidelines due to the fact the highchair was missing its shoulder straps. Also observed an Everflo brand highchair missing its shoulder straps per the manufacturer's guidelines.

Corrected Corrected by May 19, 2023

Marked corrected in the state record.

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

At the time of the renewal inspection, there was not documentation showing the facility had a policy in place for the prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements.

Corrected Corrected by May 20, 2022

Category: ratio. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Observed in the young toddler space, Parent's Choice diaper cream labeled for child #1 with an expiration date of 4/22.

Corrected Corrected by May 19, 2022

Category: ratio. Marked corrected in the state record.