3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

It was observed that hand washing signs were not present in the bathroom that the school- aged children use.

Corrected Corrected by Jun 26, 2025

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

It was observed in the infant classroom that individual bottles were not labeled with the child's name.

Corrected Corrected by Jun 25, 2025

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.

Staff person #3 had only one nonfamily reference on file.

Corrected Corrected by Jun 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.21/3270.31(f)(10) · Conditions at the facility may not pose a threat to the health or safety of the children. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff person #5 had emergency plan training on 4/29/25, which is outside of the regulatory 90- day pre-service training period. Staff persons #7 and #12 did not have record of emergency plan training on file, which is outside of the regulatory 90- day pre-service training period.

Corrected Corrected by Jul 4, 2025

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

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.

Staff person #2 had emergency plan training on 9/20/22 and 8/27/24. Staff person #8 had emergency plan training on 9/20/22 and 8/27/24. Staff person #10 had emergency plan training on 1/2/23 and 6/24/25. Staff person #13 had emergency plan training on 4/23/24 and 6/24/25.

Corrected Corrected by Jun 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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 persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff person #8's pediatric first- aid and cpr on file expired on 6/1/25. Staff person #10 had pediatric first aid and cpr dated 4/12/23 and 5/13/25.

Corrected Corrected by Jun 26, 2025

Category: ratio. 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.

Staff person #8 had fire safety training on 5/23/23 and 8/27/24 Staff person #10's fire safety training on file was dated 4/30/24.

Corrected Corrected by Jun 26, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and 9 may not work in a child care 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 did not have record of out of state clearances (Arizona child abuse, and Texas State Police) on file before their first day caring for children. Staff person #5 did not have a signed disclosure statement before their first day caring for children. Staff person #7 did not have record of clearances on file before their first day caring for children. Staff person #9 had a DOE FBI clearance on file, rather than the regulatory DHS FBI clearance. Staff person #15 did not have an FBI clearance on file within the first 45 day provisional hire period.

Corrected Corrected by Jun 26, 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).

Staff person #4 had mandated reporter training on 12/11/19 and 6/18/25. Staff person #6 had mandated reporter training on 12/27/19 and 2/8/25. CPSL requirements must be completed at least every 60 months.

Corrected Corrected by Jun 27, 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.

Staff person #2 had staff evaluations on file from 10/26/23 and 11/27/24. Staff person #14 had staff evaluations on file 10/28/21 and 11/1/23.

Corrected Corrected by Jun 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff person #16 was with children unsupervised by a qualified staff person.

Corrected Corrected by Jun 26, 2025

Category: supervision. 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.

It was observed that there was an outlet not covered in the Hives classroom. This was corrected on site.

Corrected Corrected by Jun 27, 2025

Marked corrected in the state record.

3270.67(a)/3270.67(d) · Trash shall be removed from the facility at least once per day. Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

It was observed that in the bathroom with two sinks that the trashcan for diapers was overfilled and the trashcan was not lined.

Corrected Corrected by Jun 25, 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.

Child #4 did not have a zip code for their release person on their emergency contact form. Child #1 did not have an address for their release person on their emergency contact form. Child #2 did not have an address or phone number for their release person on their emergency contact form.

Corrected Corrected by Jun 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · 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 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 emergency contact and the financial agreement forms were not updated every 6 months for child #3. The financial agreement form was not updated every 6 months for child #5 and child #6.

Corrected Corrected by Jun 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Child #4 had a health assessment dated 11/17/24 on file and did not have an updated one 6 months later.

Corrected Corrected by Jun 27, 2025

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.

It was observed that the Cubs classroom that there was not a medication log nor action plan for a child with an epi-pen.

Corrected Corrected by Jun 27, 2025

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.

Staff persons #3's and #15's health assessment did not specifically state that they were free from communicable disease and suited to provide child care.

Corrected Corrected by Jun 27, 2025

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

3270.163(a)(4) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain.

It was observed that lunch had a protein, fruit, vegetable, and dairy, but no grains.

Corrected Corrected by Jun 26, 2025

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.

Fire detection systems must be tested at least every 30 days per regulation. The fire detection system was tested 7/12/24 and 8/12/24; 12/6/24 and 1/23/25; 2/3/25 and 3/24/25; 5/1/25 and 6/2/25. These time periods are longer than 30 days.

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Documentation of the fire alarm tested showed that the fire alarm was tested on February 3, 2025 and not tested in March.

Corrected Corrected by Mar 24, 2025

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

Staff person #1 --- has completed Pediatric first aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum).

Corrected Corrected by Feb 3, 2025

Category: supervision. 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.

Documentation of the disclosure statement on file for staff member 3 and staff member 4 did not include the date that the disclosure statement was signed. This was corrected during the inspection. Documentation on file for staff member 3 did not include the results of the state police clearance. Documentation of the child abuse clearance on file for staff member 2 and the results of the state police clearance or the FBI clearance were obtained after the staff members first day working with children.

Corrected Corrected by Feb 5, 2025

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

3270.35(b)(2)/3270.192(2)(ii) · A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Documentation on file for staff member 2 included a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field but did not include documentation of 1 year experience working with children.

Corrected Corrected by Feb 4, 2025

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.

Documentation on file for staff member 3, did not include documentation of education or 2 years experience working with children.

Corrected Corrected by Feb 4, 2025

Category: supervision. Marked corrected in the state record.

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.

Documentation on file for staff member 2 included a doctor visit summary and did not include a health assessment.

Corrected Corrected by Jan 27, 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.

Documentation on file for staff member 2, did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Feb 17, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. . 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 #1- may not work in a child care position at the facility.

It was observed at the time of inspection that staff #1, hired on 6-25-24, was working as a provisional hire and their child abuse registry clearance was not in their file. (Corrected at inspection)

Corrected Corrected by Jun 28, 2024

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

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

It was observed at the time of the inspection the second floor windows were not constructed, modified or adapted to limit the opening to six or fewer inches.

Corrected Corrected by Jul 12, 2023

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.

It was observed at the time of inspection the area behind the toddler play area had overgrown grass and discarded toys. The toddler play area had a toy lawnmower with cracked plastic.

Corrected Corrected by Jul 12, 2023

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

3270.77(a)/3270.102(e) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

It was observed at the time of inspection that the paint on the fencing and railing in the toddler play area was peeling.

Corrected Corrected by Jul 11, 2022

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

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

It was observed at the time of inspection that a pacifier with a string of beads and a clip was in the crib with a sleeping infant.

Corrected Corrected by Jul 11, 2022

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