3270.181(c) · 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.

An unannounced investigation was conducted on 5/14/26. Child #1's emergency contact form was not updated every 6 months. This is evidenced by the emergency contact form on file dated 5/13/25.

Corrected Corrected by May 22, 2026

Category: recordkeeping. Marked corrected in the state record.

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.

An inspection was conducted on 3/4/26. The last documented fire drill on record was conducted on 12/22/25. This is more than 60 days between fire drills.

Corrected Corrected by Mar 13, 2026

Category: recordkeeping. Marked corrected in the state record.

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

An inspection was conducted on 3/4/26. The smoke detector log indicates the alarms were last tested on 12/22/25 and have not been tested since. This is more than 30 days since the alarms have been tested.

Corrected Corrected by Mar 13, 2026

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 be present in a childcare position at the facility.

A renewal inspection was conducted on 6/5/25. Facility person #5 was hired provisionally and had a receipt of request on file for their NSOR dated 5/1/25. All other clearances were on file. (See code see for DOH).

Corrected Corrected by Jun 5, 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).

A renewal inspection was conducted on 6/5/25. Staff person # 3 did not complete their mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/5/20 and the current one on file is dated 5/7/25.

Corrected Corrected by May 7, 2025

Category: recordkeeping. 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.

A renewal inspection was conducted on 6/5/25. Facility person #5 did not receive a health assessment and tb screening at initial hire. This is evidenced by the health assessment and TB on file dated 6/3/25.

Corrected Corrected by Jun 3, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

A renewal inspection was conducted on 6/5/25. Staff person #4's health assessment does not indicate if staff person has communicable diseases and may work in child care setting.

Corrected Corrected by Jun 18, 2025

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

3270.181(c) · 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.

A renewal inspection was conducted on 6/5/25. Child(ren) #1 & #3's fee agreements and emergency contact forms have not been updated in the last 6 months. Child #1's is dated 4/6/24 and child #3's is dated 6/11/24. (See code sheet for DOA).

Corrected Corrected by Jun 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

A renewal inspection was conducted on 6/5/25. Child(ren) #1 and #2's files did not contain signed parental consent for administration of minor first-aid procedures by facility staff or consent for emergency medical care for the child.

Corrected Corrected by Jun 18, 2025

Category: ratio. Marked corrected in the state record.

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.

A renewal inspection was conducted on 6/5/25. Child #1's initial health assessment was not received within 60 days following the first day of attendance at the facility. Child #1's initial health assessment is dated 3/21/24. (See code sheet for date of admissions).

Corrected Corrected by Jun 18, 2025

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

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.

On 6/5/25, Cert Rep arrived at the facility for a complaint investigation. Staff person #1 and #2 acknowledged they put child #1 in a highchair to restrain the child due to the child's aggressive behaviors towards others.

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

A renewal inspection was conducted on 8/8/24. The emergency bag did not contain a bottle of water. The operator acknowledged that this is the bag they take in case of an emergency.

Corrected Corrected by Aug 13, 2024

Category: health medication. 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.

A renewal inspection was conducted on 8/8/24. The facilities emergency plan does not address continuity of operations.

Corrected Corrected by Aug 13, 2024

Category: ratio. Marked corrected in the state record.

3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

A renewal inspection was conducted on 8/8/24. The parent handbook did not contain a dismissal policy or supervision policy.

Corrected Corrected by Aug 13, 2024

Category: supervision. Marked corrected in the state record.

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).

A renewal inspection was conducted on 8/8/24. Child #1's fee agreement did not list services provided.

Corrected Corrected by Aug 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4)/3270.123(a)(5) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

A renewal inspection was conducted on 8/8/24. Child #4's fee agreement did not list an arrival and departure time. Child #3's fee agreement did not list a release person.

Corrected Corrected by Aug 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6)/3270.124(b)(7) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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.

A renewal inspection was conducted on 8/8/24. Child #2's emergency contact form did not contain the medical insurance policy number and did not contain the release person's address. Child #3's emergency contact form did not contain medical coverage or medical insurance policy number.

Corrected Corrected by Aug 9, 2024

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.

A renewal inspection was conducted on 8/8/24. In the middle right classroom, the garbage can next to the diaper changing table was not hands free and contained soiled diapers.

Corrected Corrected by Aug 9, 2024

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.

A renewal inspection was conducted on 8/8/24. The fire detector log indicates the alarms were tested more than 30 days apart on four occasions, 9/25/23-10/27/23, 10/27/23-12/4/23, 12/4/23-1/17/24, & 4/10/24-5/16/24.

Corrected Corrected by Aug 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.25(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.

A renewal inspection was conducted on 8/8/24. The operator did not provide the parent of each child enrolled with information on how to access the childcare regulations electronically or provide instructions for contacting the Northeast Regional Child Care Office.

Corrected Corrected by Aug 12, 2024

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.

While at the facility unannounced for the renewal inspection the inspector observed chipped paint in the main room at the center.

Corrected Corrected by Sep 1, 2023

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

While at the facility unannounced for the renewal inspection the inspector reviewed the staff files and found that staff #1, #2, #3, #4, and #5, all did not complete the required one-hour 2022 update to the Health and Safety by 12/30/22, which was required.

Corrected Corrected by Aug 22, 2023

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

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

While at the facility unannounced for the renewal inspection the inspector reviewed the file for staff #4 and noted that the staff did not obtain a PA State Police clearance until over three months after her first day of direct care with children.

Corrected Corrected by Jul 25, 2022

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

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).

While at the facility unannounced for the renewal inspection the inspector reviewed the files for child #2, #4, and #5 and found that each of these children did not have child service reports completed every six months as is required.

Corrected Corrected by Sep 7, 2023

Category: recordkeeping. 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.

While at the facility unannounced for the renewal inspection the inspector reviewed the files for staff #1, #2, #5 and found that each of these staff did not update their health assessments timely,

Corrected Corrected by Sep 7, 2023

Category: ratio. 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.

While at the facility unannounced for the renewal inspection the inspector reviewed the file for staff #6 and found that this staff began direct care with children (see start date on LIS) without having a health assessment on file until 7/28/23.

Corrected Corrected by Jul 28, 2023

Category: ratio. Marked corrected in the state record.

3270.181(c) · 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.

While at the facility unannounced for the renewal inspection the inspector reviewed the files for children #1 through #5 and found that each of these children did not 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.

Corrected Corrected by Sep 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

While at the facility unannounced on 8/18/22 for the renewal visit the inspector noted that staff #1 did not obtain the necessary health and safety training until 1/4/22, This date was over the 90 days allowed to obtain the training.

Corrected Corrected by Sep 1, 2022

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

While at the facility unannounced on 8/18/22 for the renewal visit the inspector noted that the file for child #3 was missing the necessary health insurance coverage and policy number as is required by regulation.

Corrected Corrected by Sep 1, 2022

Category: health medication. 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.

While at the facility unannounced on 8/18/22 for the renewal visit the inspector noted that staff #2 had a health assessment on 7/27/20 and not again until 8/5/22, which is over every 24 months as is required.

Corrected Corrected by Aug 5, 2022

Category: ratio. Marked corrected in the state record.

3270.181(c) · 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.

While at the facility unannounced on 8/18/22 for the renewal visit the inspector noted that child #1last had an update to their emergency contact information and the financial agreement on 11/1/21. These forms were required to be updated on or before 5/1/22.

Corrected Corrected by Sep 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

While at the facility unannounced on 8/18/22 for the renewal visit the inspector noted that child # 2 did not have signed parental consent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff for the child.

Corrected Corrected by Sep 1, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

While at the facility unannounced on 9/9/21 for the renewal visit the inspector noticed that staff #1 was hired on 11/11/20 and had an outdated tuberculosis screening dated for 1/26/08. This screening is required prior to hire and within the year of hire.

Corrected Corrected by Sep 13, 2021

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

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

While at the facility unannounced on 9/9/21 for the renewal visit the inspector noticed that the fire drill log did not denote that the facility was setting off the fire alarms monthly as is required,

Corrected Corrected by Sep 15, 2021

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