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.

Staff #2 was observed to be caring for children unsupervised. Staff #2 does not have the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

Corrected Corrected by Dec 2, 2025

Category: supervision. Marked corrected in the state record.

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

The most recent mandated reporter training on file for Staff #1 is dated 9/23/20, more than 60 months prior to the date of inspection.

Corrected Corrected by Dec 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff #3 contained documentation of 2 years' experience with children but lacked documentation of education.

Corrected Corrected by Dec 2, 2025

Category: supervision. Marked corrected in the state record.

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).

On 11/19/25 at approximately 10:55am, Staff #3 left Room 1 to open the door for the certification representative, leaving 3 children unsupervised. On 11/19/25 at approximately 10:55am, Staff #4 left Room 4 to greet the certification representative leaving 4 children unsupervised.

Corrected Corrected by Nov 20, 2025

Category: supervision. 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.

Disinfectant cleaner, disinfectant wipes, Lysol spray, and hand sanitizer were observed on the director's desk in the hallway and accessible to children.

Corrected Corrected by Dec 2, 2025

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 3, soft vinyl cubes were observed to contain ripped/broken corners, and not in good repair.

Corrected Corrected by Dec 2, 2025

Category: physical safety. 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.

On 11/19/25 at approximately 10:55am, Staff #3 left Room 1 to open the door for the certification representative, leaving 3 children unsupervised. On 11/19/25 at approximately 10:55am, Staff #4 left Room 4 to greet the certification representative leaving 4 children unsupervised.

Corrected Corrected by Nov 20, 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.

On 11/19/25 at approximately 10:55am, Staff #3 left Room 1 to open the door for the certification representative, leaving 3 children unsupervised. On 11/19/25 at approximately 10:55am, Staff #4 left Room 4 to greet the certification representative leaving 4 children unsupervised.

Corrected Corrected by Nov 20, 2025

Category: supervision. 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 initial health assessment on file for Staff #2 is dated 2/9/24, more than 12 months prior to the start date in childcare. (SEE LIS CODE SHEET)

Corrected Corrected by Jan 9, 2026

Category: ratio. Marked corrected in the state record.

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

At the time of inspection, two children's lunchboxes were observed in the hallway containing yogurt and cheese and not refrigerated.

Corrected Corrected by Dec 2, 2025

Category: nutrition. 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 inspection, the operator could not find the Continuity of Operations policy for the emergency plan.

Corrected Corrected by May 22, 2025

Category: ratio. Marked corrected in the state record.

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

The mandated reporter training on file for Staff #1 is dated 2/21/20, more than 60 months prior.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

The two most recent staff evaluations on file for Staff #2 are dated 1/2/24 and 3/2/25, more than 12 months apart.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement form for Child #1 lacked a fee amount.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement form for Child #1 lacked the date on which the fee is to be paid.

Corrected Corrected by May 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement form for Child #1 lacked the child's date of admission.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form for Child #1 lacked the child's physician's address. The emergency contact form for Child #2 lacked the child's physician's name.

Corrected Corrected by May 23, 2025

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form for Child #1 and Child #3 lacked an address for the release persons. The emergency contact form for Child #2 lacked a complete address for the release persons,

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The two most recent health report forms on file for Child #1 are dated 11/27/23 and 1/9/25, more than 12 months apart.

Corrected Corrected by May 22, 2024

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The immunization record on file for Child #3, a 5-year-old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age.

Corrected Corrected by May 28, 2025

Category: health medication. 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.

The file for Child #3 contained an agreement form that had updates more than 6 months apart.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The pediatric first aid/CPR training on file for Staff #3 is dated 2/19/24, more than 90 days after the date of hire.

Corrected Corrected by May 22, 2025

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 facility's fire detection log included test dates 7/11/24 and 8/12/24, more than 30 days apart.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for child #5 lacked a health insurance policy number.

Corrected Corrected by May 21, 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.

The facility's files lacked a copy of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment policies. The emergency plan on site did not include provisions regarding the facility's continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

Corrected Corrected by May 21, 2024

Category: ratio. Marked corrected in the state record.

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

The emergency plan on site does not include a method for parents to be informed when the emergency has ended and information regarding how they are to be reunited with their child.

Corrected Corrected by May 22, 2024

Category: physical safety. 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). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 may not work in a childcare position at the facility.

The file for staff person #1 lacked a dissemination date for the Pennsylvania State Police Clearance.

Corrected Corrected by May 21, 2024

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #1, observed working alone in the infant room, did not include 2500 hours of experience in childcare.

Corrected Corrected by May 21, 2024

Category: supervision. 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

On 5/14/24, at approximately 2:30pm, staff person #1 left the infant room to retrieve an item from the hallway leaving four children unsupervised. At approximately 2:32pm, staff person #1 left the infant room to make a bottle leaving 4 children unsupervised.

Corrected Corrected by May 14, 2024

Category: supervision. 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 infant room and the toddler room, unlabeled spray bottles with toxics were observed in the cabinet under the sink.

Corrected Corrected by May 21, 2024

Category: ratio. 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 the toddler room, board books were observed to be ripped on the binding resulting in loose cardboard and accessible to children who are still placing objects in their mouths.

Corrected Corrected by May 21, 2024

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.

On 5/14/24, at approximately 2:30pm, staff person #1 left the infant room to retrieve an item from the hallway leaving four children unsupervised. At approximately 2:32pm, staff person #1 left the infant room to make a bottle leaving 4 children unsupervised.

Corrected Corrected by May 14, 2024

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.

On 5/14/24, at approximately 2:30pm, staff person #1 left the infant room to retrieve an item from the hallway leaving four children unsupervised. At approximately 2:32pm, staff person #1 left the infant room to make a bottle leaving 4 children unsupervised.

Corrected Corrected by May 14, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The fee agreement form for child #5 lacked the fee amount.

Corrected Corrected by May 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for child #1, child #2, child #3, child #4, and child #5 contained the original fee agreement forms and not a copy.

Corrected Corrected by May 21, 2024

Category: recordkeeping. 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 emergency contact form for child #1 lacked the enrolling parent's work address and work phone number.

Corrected Corrected by May 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form for child #2 lacked information about disability and special medical needs.

Corrected Corrected by May 21, 2024

Category: health medication. 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 file for child #3 contained records of immunization history which lacked 1 dose of DTAP recommended by the ACIP. Child must be dismissed by end of day on 5/14/24 and may only return to care when the immunization record is updated or when the parent/guardian provides a written and signed exemption letter.

Corrected Corrected by May 21, 2024

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 initial health assessment for staff person #2 was dated 4/22/24, after the date of hire (See LIS code sheet).

Corrected Corrected by May 21, 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 file for staff person #2 contained a tuberculosis screening dated 4/22/24, after the date of hire (See LIS code sheet).

Corrected Corrected by May 21, 2024

Category: health medication. 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.

The financial agreement forms for child #3 and child #5 were dated more than 6 months apart, exceeding the 6-month period update.

Corrected Corrected by May 21, 2024

Category: recordkeeping. 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 fire detection 30-day test log includes test dates 5/5/23-6/6/23 and 9/1/23-10/2/23, which are more than 30 days apart.

Corrected Corrected by May 21, 2024

Category: recordkeeping. 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. Until such time as the required pre-service trainings are completed, staff person2, #1, #2, #3 must be supervised 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, #3, staff persons #1, #2, #3 may not work in a child-care position at the facility.

Staff persons #1, #2, and #3 were observed to be caring for children unsupervised. Staff persons #1, #2, and #3 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid, cpr and health and safety training.

Corrected Corrected by Jun 5, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 will have until 6/17/23 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.

Staff person # 3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training and pediatric first aid and cpr. The trainings were due 10/2022.

Corrected Corrected by Jun 17, 2023

Category: supervision. 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.

One crib in the infant room was not labeled for the use of a specific child.

Corrected Corrected by May 10, 2023

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Observed one crib in use in the infant room without 2 feet of space on three sides of the crib.

Corrected Corrected by May 10, 2023

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