Early Learning Center

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.

The cupboard doors under the sink in Room #6 are falling off creating a visible hazard. Two ceiling tiles in Room #7 above the bulletin board by the sprinklers are stained creating a visible hazard.

Corrected by Jul 15, 2026

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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 #8 will have until 1/27/26 to complete the required training. Until such time as the required training has been completed, staff person #8 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 #8, staff person #8 may not work in a child-care position at the facility.

2nd Citation: Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (See LIS code sheet): Pediatric First-Aid & CPR Training, Mandated Reporter Training, and Health & Safety Training.

Corrected by Feb 6, 2026

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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.

2nd citation: In Room #3 outside of the closet two ceiling tiles were observed to be stained causing a visible hazard. Outside of Room #3 by the restroom four ceiling tiles were observed to be stained causing a visible hazard. In the restroom next to Room #3 three ceiling tiles were observed to be stained causing a visible hazard.

Corrected by Feb 4, 2026

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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.

The files for staff persons #1, #2, #3, #4, #6, and #7 lacked emergency plan training that was completed one year from the previous emergency plan training. The emergency plan training in the files was dated 1/15/24 and 12/9/25.

Corrected by Dec 9, 2025

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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.

The file for staff person #8 lacked initial emergency plan training.

Corrected by Jan 20, 2026

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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.

The files for staff persons #1, #2, #3, #4, #6, and #7 lacked pediatric first-aid and pediatric cardiopulmonary resuscitation prior to the expiration date in 12/2025. The current pediatric first-aid and pediatric cardiopulmonary resuscitation in the files is dated 1/3/26.

Corrected by Jan 3, 2026

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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 #8 will have until 1/27/26 to complete the required training. Until such time as the required training has been completed, staff person #8 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 #8, staff person #8 may not work in a child-care position at the facility.

Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (See LIS code sheet): Pediatric First-Aid & CPR Training, Mandated Reporter Training, and Health & Safety Training.

Corrected by Jan 13, 2026

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

The file for staff person #9 lacked valid mandated reporter training. The mandated reporter training was completed through a program that was not approved and was only 2 hours long instead of 3 hours.

Corrected by Jan 22, 2026

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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. Facility Person #5 may not work in a child care position at the facility.

The file for staff person #1 who was hired on (See LIS Code Sheet) lacked a state police clearance that was completed 60 months from the previous state police clearance. The state police clearances in the file are dated 1/10/20 and 7/16/25. The file for staff person #5 who was hired on (See LIS Code Sheet) lacked an NSOR verification certificate. The file for staff person #7 who was hired on (See LIS Code Sheet) lacked an NSOR verification certificate that was completed 60 months from the previous NSOR verification certificate. The NSOR verification certificates in the file are dated 1/9/20 and 1/15/25.

Corrected by Jan 13, 2026

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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 file for staff person #6 lacked a staff evaluation that was completed 12 months from the previous staff evaluation. The staff evaluations in the file were dated.1/25/24 and 5/22/25.

Corrected by Jan 22, 2026

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

In Room #5 a Swiffer Wet Jet was observed with a Great Value Lavendar Solution Refill attached that was labeled "Keep Out of Reach of Children."

Corrected by Jan 12, 2026

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3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The water in Room #3 was observed to be 121.6 degrees F.

Corrected by Jan 20, 2026

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

In Room #3 outside of the closet two ceiling tiles were observed to be stained causing a visible hazard. Outside of Room #3 by the restroom four ceiling tiles were observed to be stained causing a visible hazard. In the restroom next to Room #3 three ceiling tiles were observed to be stained causing a visible hazard.

Corrected by Jan 13, 2026

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

In the gym a Cozy Coupe was observed to be broken on the yellow front part creating rough edges, sharp corners, and pinch and crush points.

Corrected by Jan 13, 2026

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3270.102(f) · Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

A Bumbo seat without the straps was observed in Room #2 in the child care. This seat was described as hazardous by the United States Consumer Product Safety Commission and may not be used by children at the facility.

Corrected by Jan 13, 2026

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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.

During nap time a child was observed sleeping in a play house wooden cube and a child was observed sleeping in a toy rubber tire, which is not age appropriate rest equipment. The equipment was observed not to be labeled for the use of a specific child.

Corrected by Jan 13, 2026

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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.

In Room #2 an infant was observed sleeping in a pack n play that did not have at least 2 feet of space on three sides. In Room #2 an infant was observed sleeping in a crib that did not have at least 2 feet of space on three sides.

Corrected by Jan 13, 2026

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

The file for child #6 lacked a child service report that was completed in the last 6 months. The child service report in the file is dated 1/17/25.

Corrected by Jan 12, 2026

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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 file for child #3 lacked emergency contact information that included the name, address, and telephone number of the child's physician.

Corrected by Jan 21, 2026

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3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The files for children #1, #2, #3, #4, #5, #6, and #7 lacked emergency contact information that included written consent signed by a parent for emergency medical care. The emergency medical care was marked yes not with a written signature.

Corrected by Jan 19, 2026

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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 file for child #3 lacked emergency contact information that included the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected by Jan 21, 2026

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

It was observed that the emergency contact information was not present in the gym where the children were receiving care.

Corrected by Jan 21, 2026

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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 file for child #2 lacked a 6-month update to the emergency contact form and the financial agreement. The last update in the file was dated 10/8/24. The file for child #3 lacked a 6-month update to the emergency contact form and the financial agreement. The last update in the file was dated 1/14/25. The file for child #6 lacked a 6-month update to the emergency contact form and the financial agreement. The last update in the file was dated 10/3/24. The file for child #7 lacked a 6-month update to the emergency contact form and the financial agreement. The last update in the file was dated 1/6/25.

Corrected by Jan 13, 2026

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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 file for child #2 lacked a child health report that was completed in the past 12 months. The child health report in the file is dated 9/26/24. The file for child #3 lacked a child health report that was completed in the past 12 months. The child health report in the file is dated 8/6/24.

Corrected by Jan 21, 2026

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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 child health reports for children #1, #3, and #5 lacked updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to a preschool child in accordance with the schedule recommended by the ACIP.

Corrected by Jan 21, 2026

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

In the infant room an infant was observed to have their diaper changed and the infant was placed in a crib without having their hands washed.

Corrected by Jan 21, 2026

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

The file for staff person #4 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 3/23/22 and 7/5/24.

Corrected by Jan 22, 2026

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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.

The files for children #1, #2, #3, #4, #5, #6, and #7 lacked emergency contact information that included written consent signed by a parent for administration of minor first-aid procedures by facility staff. The administration of minor first-aid procedures by facility staff was marked yes not with a written signature.

Corrected by Jan 19, 2026

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

The Fire Drill and Fire Detection Log was observed fire drills were not conducted between 12/2024 and 9/24/25.

Corrected by Jan 12, 2026

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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 Drill and Fire Detection Log was observed for the 30-day smoke detector checks. Smoke detector checks were not documented as being conducted from 12/2024 to 9/24/25. There were 32 days between 10/24/25 and 11/25/25.

Corrected by Jan 12, 2026

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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.

The file for staff person #2 lacked pediatric first-aid and cardiopulmonary resuscitation (CPR) training that was completed prior to the expiration of the most current certification. The pediatric first-aid and cardiopulmonary resuscitation (CPR) training in the file is dated 9/28/23.

Corrected by Jan 3, 2026

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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. Facility Person #1 may not work in a child care position at the facility.

The file for staff person #1 who was hired on (See LIS Code Sheet) lacked an NSOR verification certificate. The NSOR application was dated 6/30/25 and was in the file.

Corrected by Jan 6, 2026

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3270.70(a) · The indoor temperature shall be at least 65° F.

The preschool classroom was observed to have an indoor temperature of 60 degrees F.

Corrected by Dec 8, 2025

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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 person #1 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 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 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-Aid & CPR Training, Mandated Reporter Training, and Health & Safety Training.

Corrected by Apr 10, 2025

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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.

In the gym it was observed that the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously.

Corrected by Dec 10, 2024

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3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #1 lacked firesafety training that was completed in the past 12 months. The firesafety training in the file was dated 10/30/23. The file for staff person #2 lacked firesafety training that was completed in the past 12 months. The firesafety training in the file was dated 11/17/23.

Corrected by Jan 7, 2025

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

In Room #5 a container of bleach was observed in an unlocked cabinet under the sick accessible to the children. The container of bleach was labeled "Keep Out of Reach of Children".

Corrected by Dec 10, 2024

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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.

In the gym the first-aid kit was observed to be missing an assortment of adhesive bandages.

Corrected by Dec 10, 2024

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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.

In the child restroom outside of Room #3 a handwashing sign was observed not to be posted in the 3rd stall.

Corrected by Dec 10, 2024

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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 files for children #1 and #3 lacked emergency contact information and financial agreements that were updated within the past 6-month period. The last updates were completed in 5/2024.

Corrected by Jan 14, 2025

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3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #3 lacked 12 clock hours of childcare training from 12/19/22 - 12/19/23. There are 6 hours of training in the file.

Corrected by Dec 13, 2024

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

The file for child #2 lacked an initial child health report that was provided no later than 60 days following the first day of attendance at the facility (See LIS Code Sheet). The child health report was completed on 8/29/23.

Corrected by Dec 10, 2024

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

During the complaint investigation, on 10/23/24 the director self-reported and video footage was viewed that verified staff person #1 slapped child #1 on the arm for picking at a sticker on the floor.

Corrected by Oct 15, 2024

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3270.136(b) · The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.

The operator did not inform parents of enrolled children when lice was discovered and present in the young toddler room.

Corrected by Sep 10, 2024

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

The file for staff #1 did not contain 2 written nonfamily references.

Corrected by Sep 12, 2024

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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 #1 has not received emergency plan training within 90 days of hire(See LIS Code Sheet).

Corrected by Sep 12, 2024

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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.

Staff #1's file did not contain a signed and dated disclosure statement.

Corrected by Sep 12, 2024

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3270.94(a)(1) · 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 fire drill log had the following dates 1/19/24-5/9/24 and 6/28/24- inspection date 8/28/24, which are more than 60 days apart.

Corrected by Aug 29, 2024

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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 alarm testing log contained the following dates 3/8/24-4/9/24, which are more than 30 days apart.

Corrected by Aug 29, 2024

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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.

Handwashing signs were not posted in the toddler bathroom at each toilet.

Corrected by Feb 9, 2024

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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 #4 has not had emergency plan training in the last 12 months. The most recent emergency plan training on file was dated 1/15/23.

Corrected by Feb 16, 2024

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

In Room 2, the cabinet doors above the sink were observed to be loose. There is concern the cabinet doors may disconnect as they are not secured.

Corrected by Feb 15, 2024

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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.

The file for staff person #6, had documentation of pediatric first aid /CPR training that was not renewed before the expiration date of the most current certification. The two most current trainings on file are dated 8/31/21 and 11/18/23.

Corrected by Feb 15, 2024

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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 #5 has not had fire safety training within the last 12 months. The most recent training was on 3/28/22.

Corrected by Feb 15, 2024

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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 evaluations in the files for staff persons #1 and #4 are dated more than 12 months apart. Staff person #1: 10/3/22 and 1/2/24. Staff person #4: 8/26/22 and 12/18/23.

Corrected by Feb 15, 1924

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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 1/31/24 at approximately 7:55 AM, four staff persons and 24 children were observed in the gym. When asked to identify their groups, staff person #7 named 7 preschoolers, staff person #2 named 6 older toddlers, and staff person #8 named 1 younger toddler and 4 older toddlers. Staff person #9 named 6 young toddlers, which the maximum group size for young toddlers is 1:5.

Corrected by Feb 19, 2024

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

The first aid bag in the Gym did not include bandages. The first aid bag in Room 1 did not include sterile gauze pads.

Corrected by Feb 14, 2024

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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 1, several of the foam building blocks were observed to have bite marks and were not in good repair.

Corrected by Feb 9, 2024

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

In Room 5, two blue cushions on the children's storage benches were observed to be ripping, exposing the foam interior to children who are still placing objects in their mouths.

Corrected by Feb 16, 2024

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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.

In Room 1, the thermometer inside of the refrigerator measured temperature at 56° F In Room 6, the thermometer inside of the refrigerator on the top shelf measured temperature at 32° F, and the thermometer on the bottom shelf measured temperature at 22° F. Based on the staff person present in the room, the refrigerator freezes the children's foods and is not operable. Children's fruit was observed to be frozen inside of the refrigerator making the refrigerator not operable or maintaining food at 45° F.

Corrected by Feb 26, 2024

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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 financial agreement and emergency contact form in the file for child #1 did not have documentation of being reviewed and/or updated by the parent in the past 6 months. The most recent update for both forms was on 7/7/23.

Corrected by Feb 19, 2024

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3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for child #2, who is a young toddler, are dated more than 6 months apart: 5/19/23 and 1/31/24.

Corrected by Feb 19, 2024

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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.

The two most recent health assessments on file for staff persons #1 and #2 were dated more than 24-months apart. Staff person #1: 9/3/21 and 11/1/23. Staff person #2: 5/21/21 and 7/10/23.

Corrected by Feb 19, 2024

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3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for staff person #3 lacked the physician's assessment of the staff person's suitability to provide child care.

Corrected by Feb 9, 2024

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3270.61(h) · The capacity established for an indoor space may not be exceeded.

At approximately 7:55 AM, 24 children were observed receiving care in the Gym that has a designated maximum capacity of 14.

Corrected by Feb 16, 2024

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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 documentation of testing the fire detection system exceeded 30 days from 7/26/23 to 8/29/23 and from 8/29/23 to 9/29/23.

Corrected by Feb 19, 2024

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

The initial health assessment on file for child #4 was dated 9/28/23, which is more than 60 days from starting at the facility.

Corrected by Feb 16, 2024

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3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for child #3 lacked an initial health report and has been enrolled at the facility for more than 60 days.

Corrected by Feb 16, 2024

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3270.113(a) · ***The Director shall conduct monthly meetings for a period of 4 months. All staff persons at the facility will be in attendance. The director will discuss prior noncompliance, supervision, ratio and hand free systems to ensure compliance with supervision. Staff meeting dates, agenda, names of staff in attendance, and meeting notes shall be documented. The documentation shall be sent over to OCDEL and ELRC immediately after the meeting for certification review.

According to staff statements and video recording, the following event occurred on 6/6/23. At 11:01 a.m., Facility Persons #1, #2, and #3 were supervising a group of 14 preschool-aged children in Room 8-Little Tots 1. Child #1 and Child #2, while not being supervised, were engaging in inappropriate sexual behavior for 12 minutes during the time frame 11:01 a.m. to 11:13 a.m. Inadequate child supervision by Facility Persons #1, #2, and #3 led to an increased risk amongst children in the preschool classroom.

Corrected by Dec 30, 2023

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3270.113(a) · **The Legal Entity shall require all staff persons at the facility to attend a minimum of 3 hours in-person training regarding supervision of children presented by the ELRC within 1 month of the approval of this plan of correction. The training may count towards the mandatory 12 training hours required by the Department.

According to staff statements and video recording, the following event occurred on 6/6/23. At 11:01 a.m., Facility Persons #1, #2, and #3 were supervising a group of 14 preschool-aged children in Room 8-Little Tots 1. Child #1 and Child #2, while not being supervised, were engaging in inappropriate sexual behavior for 12 minutes during the time frame 11:01 a.m. to 11:13 a.m. Inadequate child supervision by Facility Persons #1, #2, and #3 led to an increased risk amongst children in the preschool classroom.

Corrected by Sep 25, 2023

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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.

According to staff statements and video recording, the following event occurred on 6/6/23. At 11:01 a.m., Facility Persons #1, #2, and #3 were supervising a group of 14 preschool-aged children in Room 8-Little Tots 1. Child #1 and Child #2, while not being supervised, were engaging in inappropriate sexual behavior for 12 minutes during the time frame 11:01 a.m. to 11:13 a.m. Inadequate child supervision by Facility Persons #1, #2, and #3 led to an increased risk amongst children in the preschool classroom.

Corrected by Aug 29, 2023

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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.

According to staff statements and video recording, the following event occurred on 6/6/23. At 11:01 a.m., Facility Persons #1, #2, and #3 were supervising a group of 14 preschool-aged children in Room 8-Little Tots 1. Child #1 and Child #2, while not being supervised, were engaging in inappropriate sexual behavior for 12 minutes during the time frame 11:01 a.m. to 11:13 a.m. Inadequate child supervision by Facility Persons #1, #2, and #3 led to an increased risk amongst children in the preschool classroom.

Corrected by Aug 29, 2023

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3270.113(a)(1) · **The Legal Entity must develop a site-specific supervision policy. The policy shall specifically address how supervision will be maintained in all groups in each classroom and when children move during group activities while in the classroom. This policy will be discussed in detail with all staff. All staff will sign and date an attestation that they understand this supervision policy and that the policy is in effect immediately. The policy will be posted conspicuously in all child care rooms of the facility.

According to staff statements and video recording, the following event occurred on 6/6/23. At 11:01 a.m., Facility Persons #1, #2, and #3 were supervising a group of 14 preschool-aged children in Room 8-Little Tots 1. Child #1 and Child #2, while not being supervised, were engaging in inappropriate sexual behavior for 11 minutes during the time frame 11:01 a.m. to 11:13 a.m. Inadequate child supervision by Facility Persons #1, #2, and #3 led to an increased risk amongst children in the preschool classroom.

Corrected by Sep 22, 2023

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

Based on staff statements and video recording, Facility Person #1 asked Child #1 if they wanted to go outside or go inside the closet in the Little Tots 1 Room. Child #1 followed Facility Person #1 to the closet door. Facility Person #1 opened the closet door, and Child #1 walked into the closet. Facility Person #1 then closed the closet door shut for approximately four seconds with the child inside of the closet. Child #1 began to scream, "I'll go outside!" Facility Person #1 opened the closet door and Child #1 walked out of the closet.

Corrected by Aug 29, 2023

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

Based on staff statements and video recording, Facility Person #1 asked Child #1 if they wanted to go outside or go inside the closet in the Little Tots 1 Room. Child #1 followed Facility Person #1 to the closet door. Facility Person #1 opened the closet door, and Child #1 walked into the closet. Facility Person #1 then closed the closet door shut for approximately four seconds with the child inside of the closet. Child #1 began to scream, "I'll go outside!" Facility Person #1 opened the closet door and Child #1 walked out of the closet.

Corrected by Aug 29, 2023

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

Based on staff statements and video recording, Facility Person #1 asked Child #1 if they wanted to go outside or go inside the closet in the Little Tots 1 Room. Child #1 followed Facility Person #1 to the closet door. Facility Person #1 opened the closet door, and Child #1 walked into the closet. Facility Person #1 then closed the closet door shut for approximately four seconds with the child inside of the closet. Child #1 began to scream, "I'll go outside!" Facility Person #1 opened the closet door and Child #1 walked out of the closet.

Corrected by Aug 29, 2023

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3270.113(e) · *A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Based on staff statements and video recording, Facility Person #1 asked Child #1 if they wanted to go outside or go inside the closet in the Little Tots 1 Room. Child #1 followed Facility Person #1 to the closet door. Facility Person #1 opened the closet door, and Child #1 walked into the closet. Facility Person #1 then closed the closet door shut for approximately four seconds with the child inside of the closet. Child #1 began to scream, "I'll go outside!" Facility Person #1 opened the closet door and Child #1 walked out of the closet.

Corrected by Aug 29, 2023

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3270.113(e) · **The Legal entity will contact the ELEC #1 and arrange for all staff persons to attend a minimum of 6 hours of in-person training offered by the ELRC#1 related to classroom management and positive behavior support systems to address challenging behaviors in the classroom within 3 months of the plan of correction. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.

Based on staff statements and video recording, Facility Person #1 asked Child #1 if they wanted to go outside or go inside the closet in the Little Tots 1 Room. Child #1 followed Facility Person #1 to the closet door. Facility Person #1 opened the closet door, and Child #1 walked into the closet. Facility Person #1 then closed the closet door shut for approximately four seconds with the child inside of the closet. Child #1 began to scream, "I'll go outside!" Facility Person #1 opened the closet door and Child #1 walked out of the closet.

Corrected by Nov 18, 2023

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The diapering can in Room 3 was not plastic-lined or hands-free as the foot pedal was observed to be broken. The diapering can in Bathroom #2 was observed to be plastic-lined but was not hands-free.

Corrected by May 3, 2023

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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 file for staff person #4 was observed to lack documentation of completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 2022. The training certificate on file is dated 1/8/23.

Corrected by Jan 8, 2023

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

In Room 7, a loose crib sheet was observed in a crib in which an infant was sleeping.

Corrected by May 8, 2023

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3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Glue that states "keep out of reach of children" was observed in a cabinet next to children's food in Room 5.

Corrected by May 3, 2023

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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.

A wooden children's chair was observed to be splintering in the Room 1. In Room 2, a children's plastic step stool was observed to have a piece broken off, which exposed the children to rough edges and sharp corners. In Room 5 and in Room 8, a clear bin containing children's toys were observed to be cracked with sharp edges.

Corrected by May 3, 2023

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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.

The files for staff persons #2 and #3 were observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification on file. The health assessments on file for staff person #2 are dated 10/5/20 and 10/18/22. The health assessments on file for staff person #3 are dated 10/8/20 and 10/18/22.

Corrected by Oct 18, 2022

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3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for staff person #1 lacked the physician's assessment of the staff person's suitability to provide child care.

Corrected by May 18, 2023

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

The facility did not complete or have documentation of conducting an emergency drill within the past year.

Corrected by May 3, 2023

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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 documentation of testing the fire detection system exceeded 30 days from 7.1.22 to 8.22.22 and 11.1.22 to 12.27.22.

Corrected by May 3, 2023

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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.

Based on staff statements and video footage, the front doors in the foyer entrance of the facility do not work properly due to a malfunction in the lock system on the doors.

Corrected by May 1, 2023

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3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The most recent Pediatric First Aid/CPR Training in the files for Staff Persons #2, 4, 5, 6, 7, 8, 10, 11, 12, 13, 14, 15 and 16 were conducted after previous Pediatric First Aid/CPR had expired.

Corrected by May 18, 2022

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3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire:A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The Health and Safety training in the file for Staff Person #1 was the 6-hour module conducted on 8/27/16, which is not valid.

Corrected by May 18, 2022

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

The NSOR Certificates in the files for Staff Persons #1, 11, 13 and 15, who were all hired prior to September 30, 2019, were dated after the July 1, 2020, the date mandated by the CPSL. Staff Person #1: 4/6/21 Staff Person #11: 9/1/20 Staff Person #13: 9/9/20 Staff Person #15: 7/9/20.

Corrected by May 18, 2022

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

The most recent Mandated Reporter Trainings in the file for Staff Person #14 exceeded 60 months between trainings: 4/27/16-5/12/21.

Corrected by May 18, 2022

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

Observed frayed fencing and a broken gate in the small outdoor play space. Observed rust and frayed edges on the exit door to the playground.

Corrected by Jul 6, 2022

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3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

The glass door and lower window in the Firefly Room and the glass windows in the Infant Room did not have visual strips or other visual identification placed on the glass.

Corrected by May 18, 2022

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

Observed dirt and debris under the mats of the diaper changing tables in the Tot 1, Tot 2, Grasshopper and Infant Rooms.

Corrected by May 18, 2022

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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.

The most recent updated health assessments in the files for Staff Persons #7, 13 and 16 exceeded 24 months between assessments.

Corrected by May 18, 2022

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3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The Pediatric First Aid/CPR Certification in the file for Staff Person #9 was conducted more than 90 days after the staff person's start date. The file for Staff Person #3, who has been working for more than 90 days, did not include Pediatric First Aid/CPR Certification.

Corrected by May 24, 2022

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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 Drill/System Test Log documented two times when fire system checks exceeded thirty days between checks: 11/18/21-12/31/21 and 1/5/22-2/28/22.

Corrected by May 18, 2022

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

Observed brown stains from water damage on one of the ceiling tiles closest to the window side of the Infant Room.

Corrected by Apr 19, 2022

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

A baby gate was stretched across the exit door in the Infant Room.

Corrected by Apr 19, 2022

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3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The Pediatric CPR/FA Certification in the file for Staff Person #1 was completed more than 90 days after the staff person's first day working at the facility. The file for Staff Person #2, who has been working at the facility for more than 90 days, did not include Pediatric CPR/FA Certification.

Corrected by Apr 19, 2022

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