3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed a spot of damaged paint on the blue wall in the preschool 4 room.

Corrected Corrected by Aug 19, 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.

Observed in the toddler play area, a detached playhouse door. Observed a red chair in the preschool room with a loose support screw.

Corrected Corrected by Aug 19, 2025

Category: physical safety. 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.

Observed child file #3, a young toddler, contained an updated health assessment which was dated more than 9 months after the previous valid health assessment.

Corrected Corrected by Aug 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.

Observed child files #1 and #2, both preschool aged children, contained updated health assessments which were dated more than 14 months after the previous valid health assessments.

Corrected Corrected by Aug 19, 2025

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

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.

Observed the staff in the infant room was bagging diapers and not discarding immediately by placing the diaper into a plastic-lined, hands-free covered can.

Corrected Corrected by Aug 19, 2025

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Observed the older infant room, where children are walking and stable on their feet, did not have steps for the children to use to reach the sink to wash their hands.

Corrected Corrected by Aug 12, 2024

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.

Observed detached baseboard trim in the downstairs preschool bathroom. Observed a ceiling vent which needed to be cleaned in the downstairs preschool bathroom.

Corrected Corrected by Aug 12, 2024

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.

Observed the diaper changing table in the older infant room was not anchored securely to the wall and was unsteady due to being on wheels. Observed a broken toy bin in the upstairs preschool room. Observed the diaper changing table in the young infant room was not securely anchored to the wall. Observed a torn mat with a peeling cover in the downstairs preschool room.

Corrected Corrected by Aug 12, 2024

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.

Observed child file #1 contained an updated health assessment which was dated more than 12 months after the previous valid health assessment in the file.

Corrected Corrected by Aug 12, 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.

Observed the initial health assessment for staff file #1, which was dated within 12 months prior to providing initial service in a childcare setting, contained documentation of a TB test which was dated 18 months prior to providing initial service in a childcare setting.

Corrected Corrected by Aug 12, 2024

Category: ratio. 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. 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.

Observed staff #1 and #2 with a mixed age group of children. This group consisted of 6 young toddlers, 1 older toddler and 3 preschool children. Staff #1 named 5 young toddlers. Staff #2 named 1 young toddler, 1 older toddler, and 2 of the three preschool children. Staff #2 kept looking at the child but did not know the child's name. Staff #1 stated that she did not know the child's name either. Both staff asked the child what his name was.

Corrected Corrected by May 13, 2024

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Based on information obtained during the inspection, staff #3 stated she has let infants sleep in their car seats when the infants have arrived and were asleep.

Corrected Corrected by May 13, 2024

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

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Based on information obtained during the inspection, it was determined that there was only one staff person present when more than 1 child was receiving care when the facility opens in the morning. The opening staff person usually has 3-4 children in her care prior to the second staff/facility person arrives at the facility.

Corrected Corrected by May 13, 2024

Category: recordkeeping. 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.

Observed the first aid kit in the pre-K room did not contain tweezers or soap.

Corrected Corrected by Aug 16, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1 and 3- may not work in a child care position at the facility until all required clearances are obtained.

Observed staff file #1, contained a volunteer child abuse clearance which is not acceptable for childcare employment. Observed staff file #3, contained an incomplete criminal background clearance (rap sheet was missing) making the clearance not valid for childcare employment.

Corrected Corrected by Aug 2, 2023

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.

Observed a spot of detached and broken fencing in the preschool outdoor play area. Observed zip ties used to anchor the fencing which had long plastic ends sticking into the play area as a visible hazard. Observed loose swing cords in the infant room which were a visible hazard to the crawling infants.

Corrected Corrected by Aug 16, 2023

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

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

Observed exposed foam and peeling cover on a rest mat used in the toddler room.

Corrected Corrected by Aug 16, 2023

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.

Observed in the toddler room, a young toddler sleeping in a pack n play which was not labeled for use with the child's name.

Corrected Corrected by Aug 16, 2023

Category: physical safety. 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.

Observed the refrigerator in the infant room and the toddler room did not have operable thermometers.

Corrected Corrected by Aug 16, 2023

Category: nutrition. 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.

Observed staff file #2, contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation which was completed more than 90 days after the first day working in a childcare position.

Corrected Corrected by Aug 16, 2023

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

3270.23 · A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Based on interviews conducted during the inspection, it was determined that staff were instructed to tell parents they were not permitted to walk back to the childcare rooms.

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Observed staff #1 leave the infant and toddler room to answer the door. When certification representative followed staff #1 back into the infant and toddler room, it was observed there had been only 1 staff member caring for 3 young toddlers and 2 infants while staff #1 was outside of the room.

Corrected Corrected by Mar 24, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff 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 available to supervise staff person #1, staff person #1 may not work in a childcare 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: 3270.31.(f)(10).

Corrected Corrected by Mar 24, 2023

Category: supervision. Marked corrected in the state record.

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

Observed staff #1 walk from preschool room 2 to preschool room 1, leaving 7 preschool children alone in preschool room 2 without a staff person present and preschool room 2 non-compliant with the staff; child ratio.

Corrected Corrected by Mar 24, 2023

Category: ratio. 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. 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.

Observed staff #1 walk from preschool room 2 to preschool room 1 leaving 7 preschool children alone in preschool room 2 without a staff person present to supervise the children in the childcare space where the children were receiving care.

Corrected Corrected by Mar 24, 2023

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Observed an infant sleeping in a bouncy chair in the infant/toddler room.

Corrected Corrected by Mar 24, 2023

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

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Observed staff file #3 contained documentation of a high school diploma but did not contain documentation of the required 2 years of experience with children(2500 hours).

Corrected Corrected by Oct 4, 2022

Category: supervision. Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Observed the emergency phone numbers were not posted next to the telephone in the preschool room on the right side of the hall.

Corrected Corrected by Oct 4, 2022

Category: physical safety. 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.

Observed in the preschool play area, two fence posts which are missing the fence post caps and a piece of detached metal edging with a sharp edge. Observed a ceiling vent in the toddler bathroom and in the men's room which needed to be cleaned. Observed a spot of detached floor trim in the toddler bathroom and outside of the men's room. Observed the toddler toilet was missing the anchor bolt covers.

Corrected Corrected by Oct 4, 2022

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.

Observed a broken toy bin with a rough edge in the fellowship child care space. Observed in the preschool room(Left side of hall) had 2 exposed metal brackets on the side of the moveable toy shelf.

Corrected Corrected by Oct 4, 2022

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.

Observed in the toddler play area, multiple small objects (wood chips) with a diameter less than 1 inch, accessible to children who are still placing objects in their mouths.

Corrected Corrected by Oct 4, 2022

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.

Observed the pack n plays used by the young toddlers at nap time were not labeled for the use of a specific child.

Corrected Corrected by Oct 4, 2022

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

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

Observed the young toddlers sleeping in pack n plays which did not have 2 feet of space on three sides of the rest equipment.

Corrected Corrected by Oct 4, 2022

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.

Observed staff file #1 and #2 which contained initial health assessments which did not contain all of the required correct information to be a valid health assessment.

Corrected Corrected by Oct 4, 2022

Category: ratio. Marked corrected in the state record.

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Observed staff file #4, contained documentation of completion of the required health and safety training dated 11/17/18 and was for 6 training hours. Beginning 7/1/18 the health and safety training from Better Kid Care was required to be the 10 hour training.

Corrected Corrected by Oct 4, 2022

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

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Observed the facility did not have documentation of the proof of purchase for the interconnected fire alarms.

Corrected Corrected by Oct 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(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.

Observed the facility did not have documentation of the submission of the emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Oct 4, 2022

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