3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS, 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 #3, staff person #3 may not work in a child-care position at the facility.

A renewal inspection was conducted on 05/12/25. Staff person #3 has completed Basic Life Support CPR training, however, the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and is not Pediatric first aid and CPR training.

Corrected Corrected by Jun 12, 2025

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 staff 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. Tiered LIS: 1. Staff Person #1, 2 & 3 may not be present in a childcare position at the facility. This portion of the plan must have an immediate correction date. 2. The operator or person who is responsible for recordkeeping will participate in 3 hours of scheduled technical assistance sessions (1 hour and 30 minutes each) relating to record keeping for the facility. The operator will schedule these sessions with the certification rep. These sessions should occur outside of childcare space, if possible. The operator shall provide a date for when the sessions will be completed.

A renewal inspection was conducted on 05/12/25. Staff person #1 had an expired NSOR clearance on file dated 05/08/20. All other clearances were on file. Staff person #2 had an expired PSP clearance on file, dated 06/24/15, and an expired Child Abuse clearance on file, dated 06/22/15. The director acknowledged that staff person #2 had updated PSP and Child Abuse clearances completed, however, could not locate them. All other clearances were on file. Staff person #3 did not have a PSP clearance on file. All other clearances were on file.

Corrected Corrected by Jun 26, 2025

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

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the date on which the fee is to be paid.

A renewal inspection was conducted on 05/12/25. Child #1's fee agreement did specify the fee amount or specify the date on which the fee is to be paid.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3)/3270.123(a)(6) · 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). An agreement shall specify the date of the child's admission.

A renewal inspection was conducted on 05/12/25. Child #1's fee agreement did not list the services provided to the family and the child. Child #3's fee agreement did not list the child's date of admission.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. 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 05/12/25. Child(ren) #3 and #4's emergency contact form and fee agreements were not updated at least once in a 6-month period. Child #3's emergency contact form and fee agreement is dated 01/15/24 and child #4's is dated 02/01/24.

Corrected Corrected by Jun 12, 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 05/12/25.Child #1's file 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 12, 2025

Category: ratio. Marked corrected in the state record.

3270.192(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.

A renewal inspection was conducted on 05/12/25. Staff person #3's file did not contain two written nonfamily references.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

A renewal inspection was conducted on 05/12/25. The facility's emergency plan does not provide information for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jun 12, 2025

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

3270.131(a)/3270.131(b)(2) · 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. 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 renewal inspection was conducted on 05/12/25. Child #2's initial health assessment was not received within 60 days following the first day of attendance at the facility. Child #2's initial health assessment is dated 05/15/23. Child #2's health assessment was not updated every 12 months for a preschool child. The health assessment on file is dated 5/15/23. (See code sheet for date of admissions).

Corrected Corrected by Jun 12, 2025

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 5/15/24. the facility's emergency plan does not address continuity of operations.

Corrected Corrected by Jun 14, 2024

Category: ratio. 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). Facility Person #1 may not be present in a childcare position at the facility.

A renewal inspection was conducted on 5/15/24. Facility person #1's FBI clearance was not completed within the last 60 months. This is evidenced by the previously documented FBI clearance on file dated 5/3/19. Facility person #1 is not a provisional hire.

Corrected Corrected by May 15, 2024

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

3270.61(e) · Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.

A renewal inspection was conducted on 5/15/24. The facility has an operable stove in a childcare space.

Corrected Corrected by May 15, 2024

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

3270.64/3270.76 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards. 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.

A renewal inspection was conducted on 5/15/24. The concreate patio at the entrance of the facility is cracked, creating a tripping hazard. In the bathroom there are water damaged ceiling tiles and the light fixture is cracked.

Corrected Corrected by Jun 14, 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.

A renewal inspection was conducted on 5/15/24. The green painted railing on the wooden playground has chipped paint.

Corrected Corrected by Jun 14, 2024

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

3270.102(a)/3270.103 · 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. 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.

A renewal inspection was conducted on 5/15/24. The shed's gutter that is near the playground has a sharp crushed end and presenting rough edges. The gutter is accessible to children. In the bathroom, the changing table shelves contain diapers in plastic bags and is accessible to children.

Corrected Corrected by Jun 14, 2024

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

A renewal inspection was conducted on 5/15/24. Child(ren) #1 & #5's emergency contact form did not have written consent signed by a parent for the child to receive emergency medical care.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.102(c)/3270.102(e) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

A renewal inspection was conducted on 5/15/24. The young toddler outdoor play space contains mulch that is less than 1 inch in diameter and is accessible to children that are still putting objects in their mouths. The preschool/school age embedded playground slides and under bridge measured between 2-3 inches of mulch. The required depth of mulch is 9 inches.

Corrected Corrected by Jun 14, 2024

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

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

A renewal inspection was conducted on 5/15/24. Child #1's fee agreement did not specify the amount of the fee to be charged per day or per week. Child(ren) #1-3's fee agreement did not specify the date on which the fee is to be paid.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

A renewal inspection was conducted on 5/15/24. Child(ren) #2 and #5's fee agreement did not list a release person.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

A renewal inspection was conducted on 5/15/24. Child(ren) #1,3, & 5's fee agreement did not list the date of admission.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 5/15/24. Child(ren) #1,2,4 &5's emergency contact form did not list the parents work address. Child(ren) #1 &5's emergency contact form did not list the parents work phone number. Child(ren) #2 &4's emergency contact form did not list the release person's address.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #1 will be removed from care by close of business on 5/15/24 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

A renewal inspection was conducted on 5/15/24. Child #1's immunization record indicates the child does not have two doses of Hepatitis A vaccine and no exemption letter is in child's file. This is not in accordance with the ACIP recommended schedule.

Corrected Corrected by May 15, 2024

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 5/15/24. Child(ren) #1, 3, & 5's fee agreement has not been reviewed and updated in the last six months. Child 1's fee agreement was updated 6/15/22, child #3: 2/8/23, and child #5: 6/6/22.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. 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.

A renewal inspection was conducted on 5/15/24. Child(ren) #1 & #5 do not have signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jun 14, 2024

Category: ratio. 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.

A renewal inspection was conducted on 5/15/24. The facility did not conduct an emergency drill.

Corrected Corrected by Jun 14, 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 5/15/24. The childcare regulations (3270) are not posted at the facility or a way to access them electronically with instructions for contacting the Northeast Regional Child Care Office

Corrected Corrected by Jun 14, 2024

Marked corrected in the state record.

3270.27(a)(1)/3270.27(f) · The facility shall have an emergency plan that provides for accommodations 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 operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

A renewal inspection was conducted on 5/15/24. The facility's emergency plan does include information about lockdown procedures during the event of an emergency. The facility's emergency plan was not sent to the local municipality.

Corrected Corrected by Jun 14, 2024

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. Staff persons #1, #2 and #3 shall complete the required one-hour 2022 update to the health and safety training by 6/10/23.

Staff persons #1, # 2 and # 3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Jun 10, 2023

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

3270.121(a)/3270.121(b) · 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. At the time of enrollment, a parent shall receive in writing 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.

Facility does not have a supervision policy and dismissal policy to review and give to parents at time of application.

Corrected Corrected by Jun 16, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(5)/3270.123(a)(6) · An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission.

Fee Agreement for child # 1 did not contain release persons. Fee Agreements for children # 1, # 4 and # 5 did not contain child's date of admission.

Corrected Corrected by Jun 16, 2023

Category: recordkeeping. 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.

Emergency Contact Form for child # 4 did not contain telephone number for child's physician.

Corrected Corrected by Jun 16, 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.

Emergency Contact Forms for children # 3 and # 4 did not contain parents work address and phone number.

Corrected Corrected by Jun 16, 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.

Emergency Contact Form for children # 2 and # 4 did not contain health insurance policy number.

Corrected Corrected by Jun 16, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #1, Child #2, Child #4 and Child #5 must be dismissed from care by close of business 5/19/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Immunization records for Child # 1, Child # 2, Child # 4 and Child # 5. did not contain verification of the flu shot. Children were in care during flu season. Immunization record for child # 2 did not contain verification of the rotavirus and the MMR vaccine..

Corrected Corrected by May 19, 2023

Category: health medication. 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.

Facility's Emergency Plan has not been sent to the EMA and local police.

Corrected Corrected by May 31, 2022

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. Staff # 1 to # 4 will have 15 days from the date of the accepted plan to complete acceptable Pediatric First-aid/CPR . Staff #1 - # 4 will be supervised by at least an AGS who has completed an approved Pediatric First-aid/CPR by a PQAS instructor or the facility will close.

Files for Staff # 1, # 2, # 3 and # 4 did not contain Pediatric First aid/CPR from an approved curriculum and were unsupervised.

Corrected Corrected by May 13, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development in the following topics within 90 days of hire: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff # 1 to # 4 will have 15 days from the date of the accepted plan to complete acceptable Pediatric First-aid/CPR . Staff #1 - # 4 will be supervised by at least an AGS who has completed an approved Pediatric First-aid/CPR by a PQAS instructor.

Files for Staff # 1, # 2, # 3 and # 4 did not contain Pediatric First aid/CPR from an approved curriculum.

Corrected Corrected by May 16, 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.

File for Staff # 1 did not comply with CPSL regulations. File for Staff # 1 did not contain the PA State Police Clearance or the Mandated Reporter Training.

Corrected Corrected by May 31, 2022

Category: background checks. 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.

Health assessments for Staff # 1 and # 4 did not include tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Jun 10, 2022

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

3270.27(a)(5)/3270.27(a)(6) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Facility's Emergency Plan did not contain accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. Facility did not conduct an emergency drill annually.

Corrected Corrected by May 31, 2022

Category: recordkeeping. 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.

Facility staff did not have a updated fire safety training. Fire safety training was dated 7/13/20.

Corrected Corrected by Aug 17, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months.

Files for Staff # 1, # 2 and # 3 did not comply with CPSL regulations. File for Staff # 3 contained a Dept. of Education FBI clearance dated 5/5/21. Verifications of Mandated Reporter Training were missing in files for Staff # 1, # 2 and # 3.

Corrected Corrected by Aug 19, 2021

Category: background checks. 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.

File for Children # 1 and # 2 did not contain updated Health Assessments. Health assessments for Children # 1 and # 2 were dated 6/29/20.

Corrected Corrected by Sep 3, 2021

Category: health medication. 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.

Emergency Contact Form for Child # 3 did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by staff.

Corrected Corrected by Sep 3, 2021

Category: ratio. 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.

At the time of the inspection, facility was unable to provide proof of date of purchase and installation of fire detection system as required by section 1016(c) of the act (62 P.S. §¿1016(c)).

Corrected Corrected by Aug 16, 2021

Category: recordkeeping. Marked corrected in the state record.