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.

During the course of the unannounced renewal inspection on 7/22/25 the inspector reviewed staff files and found that staff #2 and observed that the staff had an initial annual fire safety training on file dated 3/11/24 and did not update the training until 6/25/25.

Corrected Corrected by Jul 28, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During the course of the unannounced renewal inspection on 7/22/25 the inspector reviewed staff files and found that staff #1 and observed that the staff had a previous DHS FBI on file dated 3/11/20 and did not update this again until 3/12/25.

Corrected Corrected by Jul 28, 2025

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

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

During the course of the unannounced renewal inspection on 7/22/25 the inspector observed some chipped paint in the rear hallway accessible to children.

Corrected Corrected by Aug 4, 2025

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During the course of the unannounced renewal inspection on 7/22/25 the inspector reviewed child files and found that children #1, #2, #3, #4, #5, and #6 did not have the required enrolling parent's work address. The inspector also observed that children #1, #3, #4, #5, and #6 were also missing enrolling parent's work phone number as is required.

Corrected Corrected by Aug 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

During the course of the unannounced renewal inspection on 7/22/25 the inspector reviewed child files and found that child #3 did not have the required address for the designated release person as is required.

Corrected Corrected by Aug 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

During the course of the unannounced renewal inspection on 7/22/25 the inspector observed an Eppi-Pen for a child currently enrolled at the facility that was missing the required medication log.

Corrected Corrected by Jul 28, 2025

Category: health medication. 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.

While at the facility unannounced on 3/14/25 the inspector observed six toddlers, asleep on cots in the young toddler room, that were touching, with one toddlers foot resting on the other sleeping child's cot.

Corrected Corrected by Mar 14, 2025

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.

While at the facility unannounced on 11/14/24 for the renewal inspection the inspector observed the sink vanity in the PreK 1 classroom to be peeling down the side and accessible to children.

Corrected Corrected by Nov 16, 2024

Category: physical safety. 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.

While at the facility unannounced on 11/14/24 for the renewal the inspector reviewed the emergency plan and found that it did not address continuity of operations as was required to be part of the emergency plan by 7/1/22." The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected Corrected by Jan 2, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

While at the facility unannounced on 11/14/24 for the renewal the inspector reviewed the emergency plan and noted it was missing the method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Jan 2, 2025

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

While at the facility unannounced on 11/14/24 for the renewal the inspector reviewed the staff files and found that staff #1, #2, #6 all had previous fire safety training on 3/2/23 and did not obtain this training again until 3/5/24. Staff #6 had previous fire safety training on 9/29/23 and did not obtain this training again until 10/24/24.

Corrected Corrected by Jan 2, 2025

Category: recordkeeping. Marked corrected in the state record.

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

While at the facility unannounced on 11/14/24 for the renewal the inspector reviewed the staff files and found that staff #2 had a previous PA Child Abuse clearance dated 2/22/19 and did up obtain a new clearance until 5/7/24. This clearance was not updated every 60 months as required by the CPSL. This clearance needed to be updated by 2/22/2024 The file for staff#5 was also reviewed and this staff did not have a complete PA State Police clearance on file as is required,

Corrected Corrected by Jan 2, 2025

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

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

While at the facility unannounced on 11/14/24 for the renewal inspection the inspector observed that staff #4 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). This training was not completed until 5/9/24.

Corrected Corrected by Jan 2, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

While at the facility unannounced on 11/14/24 for the renewal inspection the inspector observed the PreK 1 bathroom to be missing a handwashing sign.

Corrected Corrected by Jan 2, 2025

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.

More than 30 days passed since the last fire alarm test log dated 9/1/23.

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.20(e) · Copies of reports of injury, death or fire shall be kept in a file at the facility.

There is no accident/injury report file at the facility.

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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 # 1 will have until 11/29/23 to complete the required training. Until such time as the required training has been 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 available to supervise staff person # 1, staff person #1 may not work in a child-care position at the facility.

Staff person # 1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid. Training was completed on 2/7/2023.

Corrected Corrected by Nov 15, 2023

Category: supervision. 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.

There were water-stained ceiling tiles above the circle time mat in the preschool classroom.

Corrected Corrected by Nov 15, 2023

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

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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.

During renewal inspection, new staff in the toddler classrooms were unsure of the specific children assigned to their groups when asked by the inspector.

Corrected Corrected by Nov 13, 2023

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

There is no initial health report on file for staff person # 2 (see code sheet for DOH)

Corrected Corrected by Nov 21, 2023

Category: ratio. Marked corrected in the state record.

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

There is no proof of education or experience on file for staff person # 2.

Corrected Corrected by Nov 21, 2023

Category: recordkeeping. Marked corrected in the state record.

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

There is no emergency drill log on file to verify there was an annual emergency drill held in the last 12 months.

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons #1 and 2 shall complete the required one-hour 2022 update to the health and safety training by 6/23/23.

Staff persons #1 and 2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Jun 9, 2023

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

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 # 2, # 3, # 4, # 7, and # 8will have until 12/31/22 to complete the required training. Until such time as the required training has been completed, staff person# 2, # 3, # 4, # 7, and # 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 # 2, # 3, # 4, # 7, and # 8, staff person # 2, # 3, # 4, # 7, and # 8 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 2, # 3, # 4, # 7, and # 8 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid /CPR Staff person # 2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics training

Corrected Corrected by Dec 28, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person # 7 will have until12/31/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person/volunteer # 7 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 # 7, staff person # 7 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 7 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Nov 21, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 and # 6 may not work in a child care position at the facility. The Director, any one responsible for the hire of staff and paperwork from the Legal Entity, and any other staff involved in the hiring if staff must arrange to attend the Existing Provider Orientation on February 22, 2023. This training can be arranged by contacting the Regional Office at 800-222-2108.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for dates of hire. Staff # 1 had a state police clearance dated for 5/3/17 and this clearance was not updated until 5/11/22; and a child abuse clearance dated for 5/9/17 and this clearance was not updated until 5/11/22. The CPSL requires all clearances to be updated every 60 months. Staff # 5 had documentation in their file that they have lived in two other states within the last 5 years. Staff # 5 did not have the clearances from these states in their file at the time of this inspection. Staff # 6 also had documentation in their file that they have lived in one other state within the lasts 5 years. Staff # 6 did not have the clearances from this state in their file at the time of this inspection. Staff # 5 and # 6 were working in child care at the time of this inspection. These staff were hired incorrectly as indicated by the CPSL requiring both staff to have the clearances of any state they have lived in within the last 5 years.

Corrected Corrected by Feb 22, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 5 and # 6 may not work in a child care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for dates of hire. Staff # 1 had a state police clearance dated for 5/3/17 and this clearance was not updated until 5/11/22; and a child abuse clearance dated for 5/9/17 and this clearance was not updated until 5/11/22. The CPSL requires all clearances to be updated every 60 months. Staff # 5 had documentation in their file that they have lived in two other states within the last 5 years. Staff # 5 did not have the clearances from these states in their file at the time of this inspection. Staff # 6 also had documentation in their file that they have lived in one other state within the lasts 5 years. Staff # 6 did not have the clearances from this state in their file at the time of this inspection. Staff # 5 and # 6 were working in child care at the time of this inspection. These staff were hired incorrectly as indicated by the CPSL requiring both staff to have the clearances of any state they have lived in within the last 5 years.

Corrected Corrected by Nov 21, 2022

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

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

More than 60 months passed between mandated reporter training for staff person # 1. Staff person # 1 participated in mandated reporter training on 6/5/15 and then again on 1/19/21.

Corrected Corrected by Nov 16, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

The water in the sink located in the Older Toddler classroom was measured at 112 degrees.

Corrected Corrected by Nov 16, 2021

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

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

There were two play mats in the pre - k classroom with torn edges, therefore, they cannot be properly sanitized. There is an exposed screw with a sharp point in the outdoor play space at the front of the building.

Corrected Corrected by Nov 16, 2021

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