3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 renewal inspection on 11/10/2025, the file for staff #1 was viewed and the fire safety training for staff person # 1 was not updated within a 12-month period. The fire safety training reviewed was dated 10/20/24.

Corrected Corrected by Nov 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the renewal inspection on 11/10/2025, it was observed that in the frog room there was one electrical outlet that did not have a protective cover on it and it was accessible to the children.

Corrected Corrected by Nov 10, 2025

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 renewal inspection on 11/10/2025, it was observed that the paint was chipped on the poster wall in the Tigers Room, and in the 1-year-old room, the paint was chipping in the corner of the room.

Corrected Corrected by Nov 24, 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.

During the renewal inspection on 11/10/2025, it was observed that in the infant room the mattress cover on the changing table pad was split open and the Styrofoam was exposed, in the one-year-old room there was artwork that was on the changing table.

Corrected Corrected by Nov 24, 2025

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

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.

During the renewal inspection on 11/10/2025, the files for child #1, child #3, child #4, and child #5 were viewed and the Emergency Contact Form and the Financial Agreement were not updated within a 6-month period. The Emergency Contact form for child #1 was dated 1/10/25, and the Financial Agreement was dated 1/13/25. The Emergency Contact form for child #3 was dated 2/19/25 and the agreement was dated 3/3/25. The Financial Agreement for child #4 was dated 10/28/24, and the Emergency Contact form and the Financial Agreement for child #5 were both dated 3/28/25.

Corrected Corrected by Nov 14, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

During the renewal inspection on 11/10/2025, the files for child #1 and child #2 were viewed and their health assessments were not updated within a 12-month period. The most recent health assessment for child #1 was dated 9/13/24, and for child #2 the health assessment was dated 9/12/23.

Corrected Corrected by Nov 24, 2025

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). Staff person #1 must not work in a childcare position until CPSL clearances are obtained. Staff #2 will have until 11/14/24 to complete the Mandated Reporter Training. Until such time as the required training has been completed, Staff person #2 must be supervised when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a childcare position at the facility.

During the renewal inspection on 10/30/2024, the files for staff #1 and staff #2 were reviewed and staff #1 did not have a completed National Sex Offender Registry Clearance and staff #2 did not complete the Mandated Reporter Training. (see code sheet for hire dates)

Corrected Corrected by Nov 14, 2024

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the renewal inspection on 10/30/2024, it was observed in the Koala room that there was one electrical outlet without a protective cover on it.

Corrected Corrected by Oct 30, 2024

Marked corrected in the state record.

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.

During the renewal inspection on 10/30/2024, it was observed that in the Penguins room there was Lysol on the back of the toilet, and in the Tigers room there was a Swiffer with Swiffer cleaner sitting in a bucket on the floor in the bathroom. These toxic substances were accessible to the children.

Corrected Corrected by Oct 30, 2024

Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

During the renewal inspection on 10/30/2024, it was observed that in the Tigers room and also in the Frog room, the first aid backpack was hanging on a doorknob and was accessible to the children.

Corrected Corrected by Oct 30, 2024

Category: health medication. 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.

During the renewal inspection on 10/30/2024, it was observed that there was exposed wiring in the phone jack outlet in hedgehog room.

Corrected Corrected by Nov 21, 2024

Category: physical safety. 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 renewal inspection on 10/30/2024, it was observed that there was chipping paint and plaster in the Zebra room near the window, chipped paint on the walls in the Koala room, the Frog room, the Busy Bees room, and the bathroom of the Tigers room.

Corrected Corrected by Nov 21, 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.

During the renewal inspection on 10/30/2024, it was observed that the facility van had ripped seat covers, 2 resting mats in the Penguin room and 3 mats in the Tigers room were split at the seams, a child loveseat chair covering was ripped, and the rug in the corner was curling and was a tripping hazard.

Corrected Corrected by Nov 21, 2024

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

During the renewal inspection on 10/30/2024, it was observed that there were bookcases that were not secure in the Zebra room, the Penguin room, the Hedgehogs room and in the Tigers room. There were cubbies not secured in the Angelfish room, the Koala room, and outside of the Busy Bees room.

Corrected Corrected by Nov 21, 2024

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.

During the renewal inspection on 10/30/2024, the health assessment reviewed for staff person # 3 was not updated within a 24-month period. The health assessment was dated 06/21/22.

Corrected Corrected by Nov 21, 2024

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

During the renewal inspection on 10/30/2024, the Emergency Contact Form in the file for child #2 did not have signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Oct 30, 2024

Category: transportation. Marked corrected in the state record.

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.

During the renewal inspection on 10/30/2024, the file for child #1 was reviewed and did not contain a Health Assessment. (see code sheet for admission date).

Corrected Corrected by Nov 21, 2024

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

3270.113(a) · TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. A referral will be made by Certification Representative to PA Keys for required supervision training. The legal entity will maintain onsite documentation verifying that all staff members have completed the required training. All staff members must complete the required training by 7/1/2024.

During the complaint investigation on 4/3/2024, the video footage showed staff person #1 leaving child in the bathroom unsupervised for approximately 22 minutes while staff #1 cleaned up child's accident and tried to get clothes for the child to change into after the child urinated on themself. Continued non-compliance for supervision.

Corrected Corrected by Jul 1, 2024

Category: supervision. Marked corrected in the state record.

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.

During the complaint investigation on 4/3/2024, the video footage showed staff person #1 leaving child in the bathroom unsupervised for approximately 22 minutes while staff #1 cleaned up child's accident and tried to get clothes for the child to change into after the child urinated on themself. Continued non-compliance for supervision.

Corrected Corrected by Apr 3, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · TIERED LIS: Children must be supervised at all times. Regional office will provide supervision for a period of three months. Documentation will remain at the facility and will be checked by a regional office representative during monthly unannounced visits.

During the complaint investigation on 4/3/2024, the video footage showed staff person #1 leaving child in the bathroom unsupervised for approximately 22 minutes while staff #1 cleaned up child's accident and tried to get clothes for the child to change into after the child urinated on themself. Continued non-compliance for supervision.

Corrected Corrected by Jul 31, 2024

Category: supervision. Marked corrected in the state record.

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.

During the investigation on 3/21/2024, Certification Representative observed on video that staff person #1 left child #1 outside in play area alone and unsupervised for 4 minutes.

Corrected Corrected by Mar 21, 2024

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the renewal inspection dated 11/30/2023, certification representative observed that in the toddler 2 room, the School Age 5-10 room, and the infant room, there were electrical outlets accessible to children 5 years of age or younger that did not have protective receptacle covers in them.

Corrected Corrected by Nov 30, 2023

Marked corrected in the state record.

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.

During the renewal inspection dated 11/30/2023, certification representative observed toxic windshield washer fluid in the facility vehicle, and also observed hand sanitizer in the entrance way of the facility, and the toxics were accessible to children.

Corrected Corrected by Nov 30, 2023

Category: transportation. 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.

During the renewal inspection dated 11/30/2023, certification representative observed in the Pre K room that the baseboard trim was coming off the wall.

Corrected Corrected by Dec 22, 2023

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

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #1 and observed that the child health assessment form did not have the physician's signature and professional title listed, as required by the regulations.

Corrected Corrected by Dec 22, 2023

Category: health medication. 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 renewal inspection dated 11/30/2023, certification representative observed that there was chipped paint and/or chipping plaster in Room to the right of the office, the toddler #2 room, the school age 5-10 room, the infant room, the toddler room #1, the 2yr old room, the 3-5yr old room, the 3yr old room, the unused room near the pre-k room. In the hallway, there is a hole in the plaster where a door stop once was.

Corrected Corrected by Dec 22, 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.

During the renewal inspection dated 11/30/2023, certification representative observed that the resting mats in the young toddler room, and the 2yr room were not labeled for each child.

Corrected Corrected by Dec 22, 2023

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.

During the renewal inspection dated 11/30/2023, certification representative observed that the cribs did not have 2 feet on three sides as required by the regulations while child #1 and child #2 were sleeping.

Corrected Corrected by Nov 30, 2023

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

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.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #3 and observed that the emergency contact form did not have the physician's name, address, or phone number listed as required by the regulations.

Corrected Corrected by Dec 22, 2023

Category: health medication. 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 renewal inspection dated 11/30/2023, certification representative reviewed the file of child #2 and observed that the emergency contact form did not have the parent's work address or work phone # listed as required by the 3270 regulations.

Corrected Corrected by Dec 22, 2023

Category: recordkeeping. 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.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #2 and observed that the emergency contact form did not have the health insurance policy number and the name of the health insurance coverage.

Corrected Corrected by Dec 22, 2023

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

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.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #3 and child #4 and they have been enrolled more than 60 days and there were no documented immunizations in the file.

Corrected Corrected by Dec 22, 2023

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

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

During the renewal inspection dated 11/30/23, certification representative reviewed the file for child #4 and the emergency contact form was not signed by the parent giving parental consent to provide emergency medical care.

Corrected Corrected by Dec 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

During the renewal inspection dated 11/30/23, certification representative reviewed the file for child #4 and the emergency contact form was not signed by the parent giving parental consent to provide for the administration of medications or special dietary needs.

Corrected Corrected by Dec 22, 2023

Category: ratio. Marked corrected in the state record.

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.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #4 and observed that the emergency contact form did not have signed parental consent for administration of minor first-aid as required by the regulations.

Corrected Corrected by Dec 22, 2023

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

During the renewal inspection dated 11/30/23, certification representative reviewed the file for child #4 and the emergency contact form was not signed by the parent giving parental consent for the facility to provide transportation, walking excursions, swimming and wading.

Corrected Corrected by Dec 22, 2023

Category: transportation. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During the renewal inspection dated 11/30/2023, certification representative observed that the facility did not have a completed fire drill log present onsite during the inspection.

Corrected Corrected by Dec 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #3 and observed that did not have an initial health assessment in their file completed by a medical professional, but instead completed by parent. Child #3 has been enrolled in facility more than 60 days. (see code sheet for start date).

Corrected Corrected by Dec 22, 2023

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

During the renewal inspection dated 11/30/2023, certification representative observed that the notification for the local traffic safety authorities was dated 12/8/2021, and that it wasn't sent out annually as required by the regulations.

Corrected Corrected by Dec 22, 2023

Marked corrected in the state record.

3270.101(b) · Play equipment shall facilitate the child's emotional, cognitive, communicative, perceptual-motor, physical and social development.

On 12/13/22 an infant child injured his forehead while playing on a large cardboard box that was in use as play equipment.

Corrected Corrected by Jan 16, 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. Children must be supervised at all times.

On 12/13/22 infant child#1 injured his forehead while playing on a large cardboard box in use as play equipment. A padded safety helmet was supplied by the parent to the facility staff persons #1 and #2 at the time of enrollment to prevent potential head injury, however, the child was not wearing the helmet at time of the incident.

Corrected Corrected by Jan 16, 2023

Category: supervision. Marked corrected in the state record.

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

A conference was held with facility person #3 and parent of injured child #1, facility person #3 viewed the video camera of incident, however, she denied the parent's request to also view the video. In addition, parent (MO) was told by facility person #3 to find a different daycare due to her (#3) concerns of the child having more falls and bumps once he's moved into the older toddler room and stating to mother it would be better for mother's mental health.

Corrected Corrected by Jan 16, 2023

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

3270.133 · The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs.

Child #1 with a medical diagnosis was denied dietary accommodations.

Corrected Corrected by Jan 16, 2023

Category: ratio. 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.

On date of inspection, a medication log for documenting when medication cream was applied to child #1 for his severe diaper rash was not provided on date of inspection.

Corrected Corrected by Jan 16, 2023

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

3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Child #1 repeatedly had a soiled and soaked diaper at pick-up time. A system of ensuring that diaper checks were conducted at least every 2 hours or child's discomfort was not being implemented on the date of inspection, particularly, for child #1 who was suffering with a severe diaper rash and was repeatedly told by parent of her concerns with child's soiled diaper.

Corrected Corrected by Jan 16, 2023

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

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

On 12/13/22 infant child#1 injured his forehead and the parent was not provided an injury report on the day of incident.

Corrected Corrected by Jan 16, 2023

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