3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

It was observed that staff person #3 had a child abuse clearance dated 4/29/20 and received the updated child abuse clearance on 10/22/25 causing a 176-day lapse between renewing the clearance.

Corrected Corrected by Dec 17, 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.

It was observed in the Monkeys classroom that a cabinet containing cleaning supplies was not locked at the time of the inspection. (Corrected on site.)

Corrected Corrected by Dec 17, 2025

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.

It was observed in Zebras classroom that the first aid kit was missing disposable, nonporous gloves. (corrected on site) It was observed in Monkeys classroom that the first aid kit was missing soap. (corrected on site)

Corrected Corrected by Dec 5, 2025

Category: health medication. 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.

It was observed that the toy shelves in each classroom had an excessive build-up of dirt. It was observed that the Caterpillar classroom that one of the tables and the bases of the toilets had an excessive build-up of dirt. It was observed in the Ladybugs classroom that the babydolls had an excessive build-up of dirt. It was observed that the trash cans in the Ladybugs, Monkeys, Zebras, and Ducks (corrected on site) classrooms had an excessive build-up of dirt. It was observed in the Ducks classroom that the climbing structure and play kitchen sink had an excessive build-up of dirt. It was observed in the Turtles classroom that the lower cabinets had excessive residue on them and play kitchen sink had an excessive build-up of dirt. It was observed in the Jaguars classroom that there was spilled food in the refrigerator. (corrected on site)

Corrected Corrected by Dec 19, 2025

Category: nutrition. Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

It was observed that the refrigerator in the Bears classroom was missing a thermometer. (corrected on site)

Corrected Corrected by Dec 19, 2025

Category: nutrition. Marked corrected in the state record.

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

It was observed that the operator did not sign the agreement form of child #6. (Corrected on site.)

Corrected Corrected by Dec 5, 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.

It was observed that the fee amount was missing from the agreement form of child #1.

Corrected Corrected by Dec 19, 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.

It was observed that the emergency contact form of child #7 did not contain the name of the child's physician.

Corrected Corrected by Dec 19, 2025

Category: health medication. 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.

It was observed that the emergency contact form of child #9 did not contain the work telephone number of the enrolling parent.

Corrected Corrected by Dec 19, 2025

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.

It was observed that the emergency contact form of child #7 did not contain information about child's special needs.

Corrected Corrected by Dec 19, 2025

Category: health medication. 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.

It was observed that child #5 had a health assessment on file dated 5/6/25 and did not have an updated one 6 months later. It was observed that child #9 had a health assessment on file dated 7/1/24 and an updated one11/6/25 (16 mos).

Corrected Corrected by Dec 19, 2025

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

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

It was observed that child #10 had a health assessment on file dated 1/2/24 and had an updated one 11/3/25 (10 months late).

Corrected Corrected by Dec 19, 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 children #1, #2, and #3 had medication, but did not have a medication log.

Corrected Corrected by Dec 19, 2025

Category: health medication. 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.

Staff person #2 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 4/6/23 and the updated health assessment was completed on 6/17/25.

Corrected Corrected by Dec 19, 2025

Category: ratio. Marked corrected in the state record.

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

It was observed that the consent for emergency medical care on the emergency contact form for child #7 was not signed.

Corrected Corrected by Dec 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

It was observed that the consent for administration of special medications or dietary needs on the emergency contact form for children #7 and #8 was not signed.

Corrected Corrected by Dec 19, 2025

Category: ratio. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

It was observed that the consent for administration of minor first-aid procedures by facility staff on the emergency contact form for children #7, #8, and #9 was not signed.

Corrected Corrected by Dec 19, 2025

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

It was observed that the consent for transportation, walking excursions, swimming and wading on the emergency contact form for children #1, #4, #7, #8, and #9 was not signed.

Corrected Corrected by Dec 19, 2025

Category: transportation. Marked corrected in the state record.

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

It was observed that staff person #1 did not have evidence of current pediatric first aid and CPR on file and was outside of their 90-day hire window.

Corrected Corrected by Dec 19, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #1 and #2 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 Persons #1 and #2 may not work in a childcare position at the facility.

It was observed that staff person #1 was working with children and did not have an NSOR on file. It was observed that staff person #2 was working with children and did not have their out of state clearances on file.

Corrected Corrected by Sep 9, 2025

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.

At the time of the inspection, it was observed that there were mops and buckets of water in the hallway in which the children travel.

Corrected Corrected by Aug 22, 2025

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

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date of when this training will be completed. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the checklist.

Facility self-reported the following non-compliance: On 7/2/2025, Child #1 was left unsupervised in the bathroom of the toddler classroom for a period of 53 minutes. Staff #6 and staff #7 were responsible for the group of children when the supervision lapse occurred. At 5:10pm staff #6 and staff #7 left the toddler classroom to go to the gross motor play space. Name-to-face checks were not completed and child #1 was left behind. When the group of children arrived in the gross motor play space, staff #8 assumed responsibility of the group but did not complete name-to-face checks. Staff #6 and staff #7 left for the day. Staff #8 noticed child #1 was not with the group at 5:14pm and signed the child out to 'Mom' on the ipad. When the child's father arrived at 5:45pm staff realized the child was missing. Staff #5 was asked to search the building and found the child at 6:03pm in the bathroom of the toddler classroom playing in the sink.

Corrected Corrected by Nov 24, 2025

Category: supervision. 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.

It was observed that staff person #2 did not have verification of emergency plan training on file.

Corrected Corrected by Jul 22, 2025

Category: recordkeeping. 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.

It was observed that staff person #2 did not have fire safety training on file.

Corrected Corrected by Jul 22, 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, #4, and #5 may not work in a child care position at the facility until documents are on file.

It was observed that staff person #1 did not have an FBI clearance or record of application on file. It was observed that staff persons #1 and #4 did not have signed disclosure statements on file. It was observed that three of staff person #3's clearances were dated after their start date of 5/13/25. State police and child abuse were dated 5/18/25 and the NSOR was dated 5/24/25. It was observed that staff person #5 did not have an NSOR on file.

Corrected Corrected by Jul 22, 2025

Category: background checks. 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.

It was observed that the health assessment that was in staff person #2's file was dated 11/14/22. It is regulatory that health assessments take place every 24 months for facility persons.

Corrected Corrected by Aug 6, 2025

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

3270.192(2)(iii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

It was observed that staff person #1 did not have verification of child care experience on file.

Corrected Corrected by Jul 16, 2025

Category: recordkeeping. 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.

It was observed that the files of staff persons #1 and #5 had only one nonfamily reference.

Corrected Corrected by Aug 5, 2025

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.

Upon inspection of personnel files, it was found that staff person #19 had completed Health and Safety Training Part 1 and Part 2 on 2.4.2025 after 90 days of hire.

Corrected Corrected by May 9, 2025

Category: ratio. 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 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.

Upon inspection of personnel files, it was found that Staff Person #13 had pediatric first aid and cpr certificate on file dated 3.9.23 [expired 3.9.25]. Upon inspection of personnel files, it was found that Staff Person #20 had a pediatric first aid/ CPR training certificate on file dated 1.22.23 [expired 1.23.25].

Corrected Corrected by Apr 24, 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.

Upon inspection of personnel files, it was found that Staff Person #8 had fire safety training on file dated 3.12.24 and an update of 4.21.25 which was beyond 12 months. It was found that Staff Person #12 had fire safety training on file dated 2.13.24 and an update of 3.13.25 which was beyond 12 months. It was found that Staff Person #15 had fire safety training on file dated 2.13.24 and an update of 3.10.25 which was beyond 12 months.

Corrected Corrected by May 9, 2025

Category: recordkeeping. 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 #21 cannot work in a childcare position until updated proper clearance results are obtained.

Upon inspection of personnel files, it was found that staff person #3 did not complete mandated reporter training within 60 months of the previous training. The current training on file was completed on 4/5/25 and the previous training was completed on 11/5/19. The file for staff person #20 did not contain an FBI clearance on file within 45 days of hire. The file for staff person #20 contained an FBI clearance dated 10.23.24. The file for staff person # 21 dated 7.18.24 from the Department of Education is not valid. The FBI clearance on file for staff person #21 is not an approved document. Upon inspection of personnel files, it was found that Staff Person #15 did not update clearances within 60 months of the previous clearance. The current child abuse clearance on file was dated 6.28.24 and the previous clearance on 5.12.19. The current DHS FBI clearance on file was dated 6.21.24 and the previous clearance on 5.3.19.

Corrected Corrected by Apr 25, 2025

Category: background checks. 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.

Upon inspection of the children's files, it was found that the emergency contact information for child # 3 did not include a medical /health policy number.

Corrected Corrected by May 9, 2025

Category: health medication. 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.

Upon inspection of childcare space, it was found that in the Lady bugs room the first kt was missing tweezers, tape and soap. (CORRECTED ON SITE).

Corrected Corrected by Apr 11, 2025

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.

Upon inspection of childcare space, it was found that in the Turtles room the soft blue mat was frayed along the front portion. ( CORRECTED ON SITE)

Corrected Corrected by Apr 11, 2025

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.

Upon inspection of childcare space, it was found that rest equipment had less than 2 feet of space on 3 sides while in use for 4 children in the Lady Bugs and 8 children in the Butterfly room.

Corrected Corrected by May 9, 2025

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

Upon inspection of childcare space, it was found that in the Caterpillars a daily schedule of activities was not posted. (CORRECTED ON SITE).

Corrected Corrected by Apr 11, 2025

Category: physical safety. 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.

Upon inspection of the children's files, it was found that the agreement form for child # 8 did not include an admission date..

Corrected Corrected by May 9, 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.

Upon inspection of the children's files, it was found that the emergency contact information for child # 10 did not include an address and phone number of the child's physician /medical care source..

Corrected Corrected by May 9, 2025

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Upon inspection of childcare space, it was found that in the Duckling room an emergency transport plan was not posted. ( CORRECTED ON SITE)

Corrected Corrected by Apr 11, 2025

Category: transportation. 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.

Upon inspection of children's files, it was found that for Child #6, the agreement and emergency contact forms had both been last reviewed/signed on 2.21.25 and 4.10.24 ( beyond 6 months) and Child #3, the emergency contact information and agreement had last been reviewed/signed on 7.19.24...

Corrected Corrected by May 9, 2025

Category: recordkeeping. 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.

Upon inspection of personnel files, it was found that Staff Person #1 has documentation of one written non-family reference.

Corrected Corrected by Apr 14, 2025

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.

Upon inspection of the facility fire safety records, it was found that the following smoke alarm test dates exceeded the maximum of 30-days between required tests: 03.11.25/04.11.25 [31d]..

Corrected Corrected by May 9, 2025

Category: recordkeeping. 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 did not complete mandated reporter training within 60 months of the previous training. The current training on file was completed on 2/4/25 and the previous training was completed on 5/24/19. Staff person #2 did not complete mandated reporter training within 60 months of the previous training. The current training on file was completed on 2/4/25 and the previous training was completed on 7/1/19.

Corrected Corrected by Feb 4, 2025

Category: recordkeeping. 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.

It was observed in the Caterpillar, Butterfly, Ladybug, and Bear classrooms sound machines being used at high volume levels that could potentially prevent staff from being able to properly hear, direct and assess toddlers while sleeping on nap mats. It was also observed in the Caterpillar, Turtle, and Butterfly classrooms that children laying on their nap cots were not able to be properly supervised by staff. The nap cots were placed in areas that caused children to be out of sight from staff.

Corrected Corrected by Feb 4, 2025

Category: supervision. 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.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 4/10/24-5/13/24, 8/9/24-9/16/24, 9/16/24-10/18/24, 11/25/24-12/31/24.

Corrected Corrected by Feb 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

It was observed at the time of inspection Staff #4 was wearing gloves and diapering children and did not wash their hands.

Corrected Corrected by Apr 23, 2024

Category: health medication. 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.

It was observed at the time of inspection wall next to the refrigerator in the Duckling's classroom was had peeling paint. The paint on the basketball hoop pole was peeling.

Corrected Corrected by May 10, 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: Facility Person # 7 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 #7 may not work in a child care position at the facility.

It was observed at the time of inspection Staff #7 was hired on 3-4-24 and their National Sex Offender Registry was not in their record. Staff #3 was hired on 9-11-23 and their Child Abuse Registry Clearance was dated 1-15-24.

Corrected Corrected by May 6, 2024

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

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

It was observed at the time of inspection the Turtles classroom was on the outside play area without a first-aid kit in their backpack.

Corrected Corrected by Apr 23, 2024

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.

It was observed at the time of inspection the Ducklings outside first aid kit did not contain tape and scissors.

Corrected Corrected by Apr 23, 2024

Category: health medication. 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 a green cloth chair in the Bear's classroom was stained and dirty. The fence in the basketball court play area had exposed screws that presented a hazard. The outdoor play area had black weed prevention material the presented a trip hazard. The microwave in the Butterflies' classroom was dirty.

Corrected Corrected by May 10, 2024

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

It was observed at the time of inspection, the pre-school and school age outdoor play areas, with embedded play equipment, did not have the required loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission.

Corrected Corrected by Jun 1, 2024

Category: physical safety. 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.

It was observed at the time of inspection the cots in the Bears' classroom and the Ladybugs' classroom were not labeled for the use of a specific child.

Corrected Corrected by May 10, 2024

Category: physical safety. 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.

It was observed at the time of inspection child #1, #3, #4, #5,#6, #7 and #8 did not have the child's special needs noted on their emergency contact information.

Corrected Corrected by Apr 23, 2024

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

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

It was observed at the time of inspection staff #1 started on 9-18-23 and their TB Test was dated 11-20-23. Staff #2's start date was 1-5-24 and their Health Assessment and TB Test was dated 1-9-24. Staff #4's start date was 1-22-24 and their TB test 2-8-24. Staff #5's start date was 1-15-24 and their Health Assessment date was 1-19-24 and their TB Test was dated 1-22-24.

Corrected Corrected by Apr 23, 2024

Category: ratio. Marked corrected in the state record.

3270.177(a) · Children may not be left unattended in a vehicle.

It was observed at the time of inspection the driver left the unattended van running in the facility parking lot, then let the children board the running bus unattended.

Corrected Corrected by Apr 23, 2024

Category: transportation. 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 #3 received emergency plan 2-16-22 and then again 3-20-23. More than annually as required.

Corrected Corrected by Apr 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 may not work in a child care position at the facility.

It was observed at the time of inspection staff #4 was hired on 4-18-22 and their Pennsylvania State Police Criminal History clearance was completed on 2-17-23 and their Child Abuse Registry Clearance was for volunteer purposes.

Corrected Corrected by Apr 20, 2023

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

3270.35(b)(1)/3270.192(2)(iv) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

It was observed at the time of inspection staff #6 was working as a group supervisor and their degree stated "Bachelor of Science" and did not clarify if they met the requirements to work as a group supervisor.

Corrected Corrected by Apr 21, 2023

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.

It was observed at the time of inspection a staff member arrived while children were transitioning from Lunch to Nap time. The staff member placed their personal backpack on the floor in the Caterpillar Classroom and walked away. The backpack contained over the counter allergy medication that was accessible to children. Corrected at inspection.

Corrected Corrected by Apr 20, 2023

Category: health medication. 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 a pair of sharp scissors and a metal hammer were in a plastic three drawer storage container accessible to children in the Jaguar room. Corrected at inspection.

Corrected Corrected by Apr 20, 2023

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.

It was observed at the time of inspection staff #1 and staff #2's health assessment did not have a name on their forms. Staff #1 was hired on 12-12-22 and their initial health assessment and TB test were completed on 3-7-23. It was observed at the time of inspection staff #5 was hired on 10-3-22 and their initial health assessment was completed on 2-24-23.

Corrected Corrected by Apr 20, 2023

Category: ratio. 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.

It was observed at the time of inspection staff #1 was hired on 12-12-22 and completed pediatric first-aid and cpr on 4-6-23, more than 90 days after their date of hire.

Corrected Corrected by Apr 20, 2023

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

3270.20(a)(1)/3270.20(b) · We have researched food with egg ingredients and are placing the child away from others while eating. We have partnered with the parents to bring alternative food for the child. In the future The operator will immediately notify the parent and shall telephone the regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator will email or mail deliver a report to the appropriate regional office within 72 hours of a child in care's hospitalization.

On 8-29-22 child #1 had an allergic reaction at the center and the parents transported the child to the emergency room. The appropriate regional office was not notified within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. A written report was not mailed or provided to the appropriate regional office within 72 hours after hospitalization.

Corrected Corrected by Sep 6, 2022

Category: nutrition. 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.

At the time of inspection, the center director reported on 8-29-2022 one staff was supervising 10 infants in the infant classroom.

Corrected Corrected by Sep 26, 2022

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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. Facility Person #1 may not work in a child care position at the facility.

It was observed at the time of inspection staff #1 did not have verification of applying for their NSOR, FBI Criminal History Clearance and Out of State New Jersey State Criminal History Clearance, Child Abuse Clearance and Sex Offender Registry Clearance as required by the CPSL. It was observed that staff #2's disclosure statement was not signed by a witness. (corrected at inspection)

Corrected Corrected by Oct 14, 2022

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.

It was observed at the time of inspection staff #1 and staff #2 did not have a health assessment, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis., conducted within 12 months prior to providing initial service in a child care setting . Staff #3 is no longer employed.

Corrected Corrected by Sep 23, 2022

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

It was observed at the time of inspection staff #1, staff #2 and staff #3 did not have verification of child care experience, education and training prior to service at the facility.

Corrected Corrected by Sep 23, 2022

Category: recordkeeping. 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

It was observed at the time of inspection staff #1, staff #2 and staff #3's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Corrected Corrected by Sep 26, 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.

It was observed at the time of inspection staff #3 did not complete complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Corrected Corrected by Sep 4, 2022

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

3270.94(a)(1)/3270.94(a)(2) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at different times of the day or night, or both, if applicable.

It was observed at the time of inspection the facility fire drill log documented fire drills completed on 4-8-22 and then again on 7-29-22

Corrected Corrected by Sep 13, 2022

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.

It was observed at the time of inspection the fire safety system was not being tested every 30 days.

Corrected Corrected by Sep 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

It was observed at the time of inspection that staff #1 did not have emergency plan training at the time of initial employment completed, document and placed in her record.

Corrected Corrected by May 16, 2022

Category: recordkeeping. 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 that the blue plastic table covers in the Caterpillar and Zebra rooms were torn and the foam was exposed.

Corrected Corrected by May 16, 2022

Category: physical safety. 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.

It was observed at the time of inspection that child #7's emergency contact information did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by May 5, 2022

Category: health medication. 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.

It was observed at the time of inspection that child #2's emergency contact information did not 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.

Corrected Corrected by May 5, 2022

Category: health medication. 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.

It was observed at the time of inspection child #2 and child #13's emergency contact information did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by May 6, 2022

Category: health medication. 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.

It was observed at the time of inspection that Child #18's inhaler expired in January 2022 and the child's medication log documented that the medication was administered on 2-17-22.

Corrected Corrected by May 7, 2022

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

It was observed at the time of inspection that children's #1 to #17's records did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by May 12, 2022

Category: ratio. 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.

It was observed at the time of inspection the facility had not documented an annual emergency drill.

Corrected Corrected by May 13, 2022

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.

It was observed during inspection that staff #2 FBI criminal clearance was completed through the Department of Education and not the Department of Human Services as required by the CPSL It was observe during inspection staff #3 resided in Maryland, had a Maryland driver's license issued in 2017 and had not applied for Maryland Out of State Clearances as required by the CPSL.

Corrected Corrected by Jun 21, 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.

It was observed during inspection that the wall used to hang the first-aid kit in the Turtle's room had the surface of the dry wall pulled off where a hook was once placed.

Corrected Corrected by Jun 21, 2021

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 during inspection that screws were protruding on the chain link fence that enclosed the basketball court in the outdoor play area.

Corrected Corrected by Jun 21, 2021

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.

It was observed during inspection that a plastic bag containing art supplies was accessible to children in the Duckling (young-toddler) classroom.

Corrected Corrected by Jun 3, 2021

Marked corrected in the state record.

3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

It was observed during inspection that child #1's record did not contain a medication log or signed permission for administration of prescription medication.

Corrected Corrected by Jun 9, 2021

Category: ratio. 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.

It was observed during inspection that facility person #3 last health assessment was completed on 3-7-2021 and an updated health assessment was completed on 6-8-2021.

Corrected Corrected by Jun 9, 2021

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

It was observed during inspection that staff #4 and #5's records did not have two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 9, 2021

Category: recordkeeping. Marked corrected in the state record.