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

In Room 224, a sensory bin containing shredded paper, less than 1 inch in diameter, was observed and accessible to children who are still placing objects in their mouths.

Corrected Corrected by Feb 11, 2026

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.

In the Main Class, a cracked gray bin containing legos was observed to be cracked and could cause injury.

Corrected Corrected by Feb 11, 2026

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

In the Preschool 3 Room, a container of Aquaphor intended for Child #1 was not labeled with the child's name.

Corrected Corrected by Feb 11, 2026

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

In 203B, a gas relief medication intended for Child #2 lacked written parental consent.

Corrected Corrected by Feb 11, 2026

Category: ratio. Marked corrected in the state record.

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

The two most recent documented fire drills are dated 11/6/25 and 1/6/26, more than 60 days apart.

Corrected Corrected by Feb 11, 2026

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.

In the Large Classroom (Gym), mats mounted on the walls were observed to be ripped/fraying on the corners, and not in good repair.

Corrected Corrected by May 19, 2025

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

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

Staff person #1 has not completed mandated reporter training within the last 60 months; the previously documented mandated reporter training on file is dated 3.4.20.

Corrected Corrected by Apr 3, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The files for Staff Person #1 and Staff Person #3 lacked a dissemination date for the Pennsylvania State Police Clearance. (See LIS Code Sheet)

Corrected Corrected by May 30, 2024

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

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

Small rocks, smaller than 1 inch in diameter, were observed to be falling off a rock wall and onto the ground on the lower outdoor play space and accessible to children who are still placing objects in their mouths.

Corrected Corrected by May 24, 2024

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The immunization record of Child #1 lacked the following immunizations: one (1) dose of Pneumococcal and one (1) dose of Hepatitis A with no Exemption in file. (SEE LIS CODE SHEET)

Corrected Corrected by May 24, 2024

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

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The tuberculosis screening on file for Staff Person #2 was dated 6/7/23, after the date of hire. (See LIS Code Sheet)

Corrected Corrected by May 30, 2024

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The files for children #11, #2, and #3 contain assessments for the children, however, they are not done using the Department's approved form.

Corrected Corrected by Jun 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.20(c)(8) · A report of injury, death or fire shall include the required follow-up.

The facility's incident report form did not include the required follow-up.

Corrected Corrected by Jan 18, 2023

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

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

The operator did not telephone notice to the appropriate regional office within 24 hours regarding a child in care child #1, at the facility that received emergency room treatment on 10/31/22.

Corrected Corrected by Jan 18, 2023

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

3270.20(b) · The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

The operator did not mail or deliver a written report to the appropriate regional office within 72 hours after emergency room treatment of a child in care that occurred on 10/31/22.

Corrected Corrected by Jan 18, 2023

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

3270.20(c)(1) · A report of injury, death or fire shall include the name, address and telephone number of the facility.

The facility's incident report form did not include the name, address and telephone number of the facility.

Corrected Corrected by Jan 18, 2023

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

3270.20(c)(2) · A report of injury, death or fire shall include the name, address and birth date of the child.

The facility's incident report form did not include the name, address and birth date of the child.

Corrected Corrected by Jan 18, 2023

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

3270.20(c)(3) · A report of injury, death or fire shall include the name and address of the child's parent or guardian.

The facility's incident report form did not include the name and address of the child's parent or guardian.

Corrected Corrected by Jan 18, 2023

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

3270.20(c)(5) · A report of injury, death or fire shall include the name and telephone number of local authorities notified.

The facility's incident report form did not include the name and telephone number of local authorities notified.

Corrected Corrected by Jan 18, 2023

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

3270.20(c)(6) · A report of injury, death or fire shall include the nature of the treatment.

The facility's incident report form did not include the nature of the treatment.

Corrected Corrected by Jan 18, 2023

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

3270.20(c)(7) · A report of injury, death or fire shall include the name and address of the place where the treatment was received.

The facility's incident report form did not include the name and address of the place where the treatment was received.

Corrected Corrected by Jan 18, 2023

Category: physical safety. 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.

Previous cited on 2/22/22. Based on staff statement and representatives observations, during corrections visit on 4/7/22, at approximately 11:08 a.m. in the hallway of the childcare facility, staff person #1 who was supervising a group of 2 preschool age children, left child # 1 & 2 behind in the restroom, returned to the Preschool 1 Room, closed the door to the Preschool 1 Room, then child # 1 and 2 were observed walking out of restrooms into the hallway alone and unsupervised then begin knocking on the door and yelling "Let Us In". Staff #1 was unaware child # 1 and 2 were left alone and unsupervised in the restrooms. The children were allowed into the Preschool 1 Room at 11:10 a.m.

Corrected Corrected by Apr 19, 2022

Category: supervision. 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. Children must be supervised at all times.

Previous cited on 2/22/22. Based on staff statement and representatives observations, during corrections visit on 4/7/22, at approximately 11:08 a.m. in the hallway of the childcare facility, staff person #1 who was supervising a group of 2 preschool age children, left child # 1 & 2 behind in the restroom, returned to the Preschool 1 Room, closed the door to the Preschool 1 Room, then child # 1 and 2 were observed walking out of restrooms into the hallway alone and unsupervised then begin knocking on the door and yelling "Let Us In". Staff #1 was unaware child # 1 and 2 were left alone and unsupervised in the restrooms. The children were allowed into the Preschool 1 Room at 11:10 a.m.

Corrected Corrected by Apr 19, 2022

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.

Previous cited on 2/22/22. Based on staff statement and representatives observations, during corrections visit on 4/7/22, at approximately 11:08 a.m. in the hallway of the childcare facility, staff person #1 who was supervising a group of 2 preschool age children, left child # 1 & 2 behind in the restroom, returned to the Preschool 1 Room, closed the door to the Preschool 1 Room, then child # 1 and 2 were observed walking out of restrooms into the hallway alone and unsupervised then begin knocking on the door and yelling "Let Us In". Staff #1 was unaware child # 1 and 2 were left alone and unsupervised in the restrooms. The children were allowed into the Preschool 1 Room at 11:10 a.m.

Corrected Corrected by Apr 19, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · ***All staff persons at the facility will be required to attend an OCDEL-approved training regarding supervision/ratio of children presented by the ELRC 5 within 3 month of the approval of this plan of correction. The training may count towards the mandatory 12 training hours required by the Department.

Previous cited on 2/22/22. Based on staff statement and representatives observations, during corrections visit on 4/7/22, at approximately 11:08 a.m. in the hallway of the childcare facility, staff person #1 who was supervising a group of 2 preschool age children, left child # 1 & 2 behind in the restroom, returned to the Preschool 1 Room, closed the door to the Preschool 1 Room, then child # 1 and 2 were observed walking out of restrooms into the hallway alone and unsupervised then begin knocking on the door and yelling "Let Us In". Staff #1 was unaware child # 1 and 2 were left alone and unsupervised in the restrooms. The children were allowed into the Preschool 1 Room at 11:10 a.m.

Corrected Corrected by Jul 19, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · ****Following the completion of the trainings and within 3 months of the approval of this plan of correction, the operator must work with ELRC 5 to develop a supervision policy for the facility, which will be discussed with staff and posted conspicuously in all of the classrooms.

Previous cited on 2/22/22. Based on staff statement and representatives observations, during corrections visit on 4/7/22, at approximately 11:08 a.m. in the hallway of the childcare facility, staff person #1 who was supervising a group of 2 preschool age children, left child # 1 & 2 behind in the restroom, returned to the Preschool 1 Room, closed the door to the Preschool 1 Room, then child # 1 and 2 were observed walking out of restrooms into the hallway alone and unsupervised then begin knocking on the door and yelling "Let Us In". Staff #1 was unaware child # 1 and 2 were left alone and unsupervised in the restrooms. The children were allowed into the Preschool 1 Room at 11:10 a.m.

Corrected Corrected by Jul 19, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · **The director will conduct random assessments of each classroom at least once daily, at various times of the day, for the next 3 months. During the assessment, the director will ask each staff person in each classroom to identify the children that are in their group, and are therefore, responsible for. The director will document all assessments in a log, including the date, time, staff persons, number and ages of children. The log will be submitted to the Department for approval prior to implementation. The log will be made available to OCDEL-DHS representatives upon request.

Previous cited on 2/22/22. Based on staff statement and representatives observations, during corrections visit on 4/7/22, at approximately 11:08 a.m. in the hallway of the childcare facility, staff person #1 who was supervising a group of 2 preschool age children, left child # 1 & 2 behind in the restroom, returned to the Preschool 1 Room, closed the door to the Preschool 1 Room, then child # 1 and 2 were observed walking out of restrooms into the hallway alone and unsupervised then begin knocking on the door and yelling "Let Us In". Staff #1 was unaware child # 1 and 2 were left alone and unsupervised in the restrooms. The children were allowed into the Preschool 1 Room at 11:10 a.m.

Corrected Corrected by Jul 19, 2022

Category: supervision. Marked corrected in the state record.

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

The safe routes were not posted in a conspicuous location.

Corrected Corrected by Feb 22, 2022

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.

In Room 230(A)-Young Toddler, in the entry way which is a part of the child care space a staff person's purse that contained medication, Tylenol and gas-x was on a small storage unit which was accessible to children in care.

Corrected Corrected by Mar 17, 2022

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

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

A copy of the facility's emergency plan was not posted in a conspicuous location.

Corrected Corrected by Mar 17, 2022

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

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitatio(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.

The files for Staff #1, #2, #3, #4, #8, #9, #10, #11, #12, and #13 cannot determine if the first-aid training and cardiopulmonary resuscitation (CPR) training included Pediatric. The files for Staff #5 and #7, the staff person's pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) training was not renewed before the expiration date of the most current certification.

Corrected Corrected by Mar 23, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 for Staff #5 lacked documentation that they completed fire safety training annually. The last training was dated 1-14-22.

Corrected Corrected by Mar 17, 2022

Category: recordkeeping. 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.

In Room 230(A)-Young Toddler, hand sanitizer was observed on the kitchen sink that was accessible to the children. In the hallway, there were two bottles of hand sanitizer attached to the children's backpacks.

Corrected Corrected by Feb 22, 2022

Marked corrected in the state record.

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

In the Preschool 1 Room, two containers of Clorox Wipes and a container of OnGuard were in a cabinet stored above food in a child care space

Corrected Corrected by Feb 22, 2022

Category: ratio. 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.

In the girl's bathroom stall, the aluminum bathroom door had a pinch point and the panel inside the stall was cracked.

Corrected Corrected by Mar 17, 2022

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

In Room 230(B)-Infant, the sink was not at a proper height for children to approach the sink.

Corrected Corrected by Mar 17, 2022

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.

In Room 230(A)-Young Toddler, a wooden train table was in several different pieces and had screws exposed. In Room 230(B)-Infant, there was a cracked green plastic bin with sharp corners.

Corrected Corrected by Feb 22, 2022

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

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

In Room 230(A)-Young Toddler and in Room 230(B)-Infants, there were empty garbage bags observed near the changing tables, which were accessible to children in care.

Corrected Corrected by Feb 22, 2022

Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The agreement form for Child File #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 lacked the operator's signature.

Corrected Corrected by Feb 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The file for Child #8 lacked the child's arrival and departure times on the agreement form.

Corrected Corrected by Mar 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

A determination could not be made of when Child #3 was enrolled, subsequently documentation on file indicated a 6-month review had not been completed on the emergency contact form.

Corrected Corrected by Mar 17, 2022

Category: recordkeeping. 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.

In Room 230(A)-Young Toddler, an Epinephrine Injection medication did not include the health professional's instructions on the original label. Also, there was Tylenol that had expired 11/2021 and Eczema Therapy Nighttime Balm that had expired in 12/2019 in the medication box.

Corrected Corrected by Feb 22, 2022

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

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

In Room 230(B)-Infant, a child did not wash their hands after had their diaper changed by a staff person.

Corrected Corrected by Mar 17, 2022

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

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

A determination could not be made if Staff #3 had a health assessment because there was no name on the health form.

Corrected Corrected by Feb 25, 2022

Category: ratio. Marked corrected in the state record.

3270.161(e) · Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

In the main classroom, fresh apples, oranges and bananas were observed not to be refrigerated, and based on the staff's statement they were not refrigerated on the day of the purchase.

Corrected Corrected by Mar 17, 2022

Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

A determination could not be made of when Child #3 was enrolled, subsequently documentation on file indicated a 6-month review had not been completed on the emergency contact form and the agreement form.

Corrected Corrected by Mar 17, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility did not conduct or have documentation of an annual emergency drill on file.

Corrected Corrected by Mar 23, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff #6 lacked pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) Training within 90 days of hire.

Corrected Corrected by Mar 17, 2022

Category: health medication. 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.

At approximately 1:50pm on February 22, 2022 in the Preschool 1 Room, staff person #1 was in the hallway taking their assigned group of two children to the restroom. When the staff person #1 came back into the classroom, the staff person was not able to properly name the children in their group.

Corrected Corrected by Mar 17, 2022

Category: supervision. Marked corrected in the state record.