Place Like Home Childcare

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, a primary staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person/facility person/volunteer #1 may not work in a child- care position at the facility.

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/17/20.

Corrected by Aug 22, 2025

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3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

In the bathroom upstairs was a Febreze plug in that stated keep out of reach of children accessible to children.

Corrected by Aug 22, 2025

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3280.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In the infant room the window facing the back outdoor play space was cracked with a sharp edge.

Corrected by Aug 22, 2025

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3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The files for child #2 and 3 did not contain the enrolling parents work address and work telephone number.

Corrected by Aug 22, 2022

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3280.124(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 #2 did not contain the health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits.

Corrected by Aug 22, 2025

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3280.131(b)(2)/3280.182(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 must contain initial and subsequent health reports.

Child #1's, a preschool age child(See LIS Code Sheet), two most recent health assessments are dated 5/17/24 and 7/22/25 which are more than 12 months apart.

Corrected by Aug 22, 2025

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3280.131(a)/3280.182(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 must contain initial and subsequent health reports.

Child #3's initial health assessment is dated 11/21/24 which was more than 60 days after enrollment(See LIS Code Sheet).

Corrected by Aug 22, 2025

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3280.26(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.

Staff #1, 2, and 3 had emergency plan training on 6/1/22 and 8/31/23 which is more than 12 months apart.

Corrected by Aug 31, 2024

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3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility did not have a letter explaining the emergency procedures to provide to the parent of each enrolled child.

Corrected by Aug 31, 2024

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3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff #2's two most recent child abuse clearances are dated 3/8/19 and 4/3/24 which are more than 60 months apart.

Corrected by Aug 31, 2024

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3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

In the dining area of the main room 2 protective outlet covers were missing.

Corrected by Aug 20, 2024

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3280.76 · 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 outside wooden fenced was splintered in multiple places and one wooden post was detached and laying on the ground. A piece of plywood attached to the bottom of the facility in the outside play space was splintered and crumbling away.

Corrected by Sep 8, 2024

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3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the upstairs room next to the office there was peeling paint on the wall under the television.

Corrected by Aug 31, 2024

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3280.102(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 outside play space a small plastic blue chair was cracked all the way through causing 2 holes with sharp edges.

Corrected by Aug 20, 2024

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3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

Child #2's file contained a child service report dated 6/4/24 which was more than 6 months from the time of the child's enrollment(See LIS code Sheet).

Corrected by Aug 20, 2024

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3280.124(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.

Child #1's file did not contain the health insurance policy number.

Corrected by Aug 20, 2024

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3280.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Child #3 and 4's files were missing the address of one individual designated by the parent to whom the child may be release.

Corrected by Aug 20, 2024

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3280.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Child #2's file contained written verification of immunization dated 1/25/24 which was more than 60 days after enrollment(See LIS Code Sheet).

Corrected by Aug 20, 2024

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3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Child #2's file did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Aug 20, 2024

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3280.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff #1 and 2's files did not contain 2 written non-family references. Staff #1's file contained one non-family reference and one letter written by her sister. Staff #2's file contains one non-family reference and one reference written by her cousin.

Corrected by Sep 8, 2024

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3280.94(a)(1) · The primary staff person 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 contained the following dates 8/2/23-10/29/23(88 days) which are more than 60 days apart.

Corrected by Aug 20, 2024

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3280.131(a)/3280.182(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 must contain initial and subsequent health reports.

The initial health assessment for child #2 was dated 2/1/24 which was more than 60 days after enrollment(See LIS Code Sheet).

Corrected by Aug 20, 2024

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3280.26(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The operator did not have documentation on file of sending a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected by Aug 31, 2023

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3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for facility person #2 was observed to have documentation of PA Criminal History Clearance results that was not renewed before the expiration date of the most current certification: 6/18/18 and 7/11/23.

Corrected by Aug 31, 2023

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3280.76 · 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 wooden gate door to the fence in the outside play space was observed to have broken wood boards and was not in good repair. The gate door was observed to be splintering and have nails protruding. These conditions expose the children in care to rough edges, sharp points and visible hazards.

Corrected by Aug 30, 2023

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3280.103 · 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.

The diaper changing pad in the diapering area in the bathroom was observed to be torn exposing the children to the foam interior, which poses a choking hazard to children in the room who are still placing objects in their mouths.

Corrected by Aug 29, 2023

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3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for children #1 and #3 lacked the enrolling parent's work address.

Corrected by Aug 22, 2023

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3280.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form on file for child #4 lacked the address of the individual designated by the parent to whom the child may be released.

Corrected by Aug 22, 2023

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3280.151(a)/3280.192(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 file of facility person #1 contained a health assessment dated 10/2/20 and an updated assessment dated 7/14/23, which exceeded 24 months. The file of facility person #2 contained a health assessment dated 1/18/21 and an updated assessment dated 7/28/23, which exceeded 24 months. The file of facility person #3 contained a health assessment dated 1/25/21 and an updated assessment dated 8/2/23, which exceeded 24 months.

Corrected by Aug 30, 2023

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3280.94(a)(1) · The primary staff person 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 facility's documentation of conducting fire drills exceeded 60 days from 12/3/22 to 2/3/23, 4/3/23 to 6/3/23, and 6/3/23 to 8/3/23.

Corrected by Aug 30, 2023

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility's documentation of testing the fire detection system exceeded 30 days from 5/4/23 to 6/4/23 and 7/3/23 to 8/3/23.

Corrected by Aug 30, 2023

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3280.14/3280.20 · 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 facilities emergency plan lacked documentation on addressing continuity of operations in an emergency.

Corrected by Aug 23, 2022

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3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

On the top of the backpack storage unit in the Main Room, it was observed a bottle of hand sanitizer and a container of disinfectant wipes that are labeled "Keep out of the Reach of Children" were accessible to children. In the children's bathroom upstairs, two bottles of hair glue that are labeled "Keep out of Reach of Children" were observed in the bathroom's mirror cabinet and accessible to children.

Corrected by Aug 23, 2022

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3280.76 · 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 wooden fence surrounding the outdoor play space was observed to have eight panels on the left side and eight panels on the far back side broken off at the bottom of the fence. In the left corner in the outdoor play space, three nails were observed protruding from the fence and six panels of the wooden fence were observed to be broken off at the top. These conditions expose the children in care to splintering, rough edges, and pinch points.

Corrected by Aug 23, 2022

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3280.105(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.

In the Infant Room, rest equipment lacked labels with the names of the children who receive care.

Corrected by Aug 23, 2022

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3280.106 · 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.

The thermometer in the refrigerator in the kitchen measured temperature at 80° F. Upon closer inspection, it was determined that that the thermometer was inoperable.

Corrected by Aug 23, 2022

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3280.108(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

A yellow toy storage shelf in the Main Room was observed to be unanchored, posing a toppling risk.

Corrected by Aug 23, 2022

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3280.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

In the Main Room at approximately 10:00 a.m., staff person #1 was observed to roughly grab a toy out of a child's hands and then the child cried. Staff person #1 then picked the child up from under the arms and aggressively slammed the child's bottom onto the floor.

Corrected by Aug 23, 2022

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3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement on file for child #1 did not include the amount of the fee to be paid for services.

Corrected by Aug 23, 2022

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3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for children #1, #2, and #4 had the original agreement form at the facility and did not provide the parent the original agreement.

Corrected by Aug 23, 2022

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3280.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

The emergency contact form for child #1 lacked the emergency contact information on who shall be contacted in an emergency.

Corrected by Aug 12, 2022

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3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for child #2, #3 and #4 observed to be lacking the enrolling parent's work address. The emergency contact form for child #3 and #4 lacked the work telephone number.

Corrected by Aug 23, 2022

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3280.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file for child #2 lacked information on the emergency form of the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed for an emergency.

Corrected by Aug 23, 2022

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3280.124(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.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was observed not to be posted in the Infant Room and Room 4.

Corrected by Aug 23, 2022

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3280.135(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.

In the diapering area in the upstairs bathroom, soiled diapers were observed in a hands-free can that lacked a plastic-liner.

Corrected by Aug 23, 2022

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3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Evacuation routes was not posted in a conspicuous location in the basement floor of the facility.

Corrected by Aug 23, 2022

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility had documentation of fire testing that exceeded 30 days from 8/30/21-9/30/21, 10/30/21-11/30/21, 2/27/22-3/30/22, 4/29/22-5/30/22, and 6/3/22-7/5/22.

Corrected by Aug 23, 2022

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3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file for staff person #1 was observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET).

Corrected by Aug 23, 2022

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3280.75(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 kit lacked tweezers.

Corrected by Sep 18, 2021

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3280.32(a)/3280.192(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 State Police and FBI Clearances in the file for Staff Person #1 stated that the staff person had a record. The rap sheets for each of these clearances did not contain the dispositions for two offenses from 2020.

Corrected by Sep 18, 2021

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3280.76 · 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 wall register in the upstairs nap room was loose and a screw was protruding from the wall. Fence posts on the left and rear sides of the outdoor play space were loose. The garbage can in the outdoor play space was overturned and garbage was on the ground.

Corrected by Sep 18, 2021

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3280.103 · 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.

Observed a checker piece, with a diameter of less than one inch, in the upstairs nap room. This creates a potential choking hazard for children who may still be placing objects in their mouths.

Corrected by Sep 18, 2021

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3280.123(a)(6) · An agreement shall specify the date of the child's admission.

The Fee Agreements in the files for Child #1 thru #5 did not include the admission date.

Corrected by Sep 18, 2021

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3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact Forms in the files for Child #1 and #2 did not include the enrolling parent's phone number.

Corrected by Sep 18, 2021

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3280.124(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.

The emergency transportation plan was not posted in the nap room.

Corrected by Sep 18, 2021

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3280.131(e)(1)/3280.182(1) · 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. A child's record must contain initial and subsequent health reports.

The initial health reports in the files for Child #3 and #4 did not contain an immunization record or an exemption letter from the parent or physician. The immunization record in the file for Child #5 did not include documentation of a flu shot administered in the past 12 months or a letter of exemption from the parent or physician.

Corrected by Sep 18, 2021

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3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Instructions for contacting the Western Regional OCDEL Office were not posted at the facility.

Corrected by Sep 18, 2021

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3280.26(a)(1)/3280.26(a)(5) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The Emergency Plan did not contain lockdown procedures or accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected by Sep 18, 2021

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