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 #1 may not serve in a volunteer or child care staff position at the facility without all appropriate completed clearances required for the classification. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE 2 The operator shall develop a staff file checklist to assist in ensuring all documents, including clearances and/or a clearance application, required at hire for facility persons, are present upon their start date when required, and received timely if required after their start date. The checklist shall also assist in ensuring that documents that are required to be updated are done so timely, and that staff are meeting ongoing regulatory requirements, including training requirements. The operator shall submit the checklist to the certification representative for review within 2 weeks of submitting the plan of correction. Once the checklist has been approved, the operator will begin using the document for all newly hired and existing staff and facility persons. The checklists shall be filed in the facility person's file and may be monitored during on-site unannounced monitoring visits conducted by the Department. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED.

SECOND CITATION; PERVIOUSLY CITED ON 10/1/25: On 1/30/26, Facility Person #1, classified as a volunteer as per the operator's statement, was observed unsupervised caring for children. There was no FBI clearance or NSOR clearance on file for Facility Person #1. The criminal history and child abuse clearances on file were volunteer versions of the clearances. The signed disclosure statement on file was not the current version of the form.

Corrected Corrected by Feb 27, 2026

Category: supervision. Marked corrected in the state record.

3270.33(a) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Facility Person #1, classified as a volunteer as per the operator's statement, was observed unsupervised caring for children. Facility Person #1 was observed retrieving two children from a room on the second floor and walking them downstairs to the main level where staff state the children were to be picked up by a separate transportation entity. Facility Person #1 was performing duties of an assistant group supervisor without meeting one of the applicable staff qualifications for the classification.

Corrected Corrected by Jan 30, 2026

Category: supervision. Marked corrected in the state record.

3270.33(c) · A volunteer shall be supervised by a staff person who is qualified at minimum as an assistant group supervisor.

Facility Person #1, classified as a volunteer as per the operator's statement, was observed unsupervised caring for children. Facility Person #1 was observed retrieving two children from a room on the second floor and walking them downstairs to the main level where staff state the children were to be picked up by a separate transportation entity.

Corrected Corrected by Feb 2, 2026

Category: supervision. Marked corrected in the state record.

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

THIRD CITATION; PREVIOUSLY CITED ON 10/1/25 AND 10/3/25: At approximately 3:50 PM on 1/30/26, Facility Person #1, classified as a volunteer as per the operator's statement, was observed unsupervised caring for children. Facility Person #1 was observed retrieving two children from a room on the second floor and walking them downstairs to the main level where staff state the children were to be picked up by a separate transportation entity. There were no other staff persons present with Facility Person #1 to supervise the children.

Corrected Corrected by Jan 30, 2026

Category: supervision. Marked corrected in the state record.

3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

At approximately 3:45 PM, Facility Persons #2 and #3 were observed caring for 16 preschoolers in a second floor space not previously inspected, measured for an assigned maximum capacity, and included as certified child care space on the facility's Certificate of Compliance.

Corrected Corrected by Jan 30, 2026

Category: ratio. 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. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE 2. The operator shall ensure all facility staff persons complete an in-person training, coordinated through the Early Learning Resource Center, regarding appropriate supervision of children. The training documentation issued by the training entity, to include the training title, date and the names of attendees, shall be retained on file and forwarded to the certification representative upon completion. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED 3. The operator shall develop and implement a supervision policy detailing facility procedures and processes to ensure regulatory compliance with supervision regulations. The policy shall include, but not be limited to, the following topics: supervision regulations and definition as per Chapter 3270, the proper supervision and appropriate duties of volunteers, processes for completion of tasks outside of the classroom such as retrieving supplies and answering the door while maintaining supervision of children, supervision of children using the restroom, and supervision of children during transitions between activities and spaces. The policy shall be submitted to the certification representative for approval. Once approval is received, the policy shall be shared with each facility person. Each facility person shall sign an acknowledgement of the policy, to be retained on file and submitted to the certification representative. The supervision policy shall be included in the staff handbook/resource material for staff. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED 4. The operator shall conduct three monthly meetings with all staff for a period of three consecutive calendar months. One agenda item at each meeting shall be related to the proper supervision of children, allowing staff to ask questions, discuss challenges, and provide and receive feedback regarding the supervision of children. The agenda topics, meeting date, and attendees for each meeting shall be documented, retained on file, and submitted to the certification representative after each meeting. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED

THIRD CITATION; PREVIOUSLY CITED ON 10/1/25 AND 10/3/25: At approximately 3:50 PM on 1/30/26, Facility Person #1, classified as a volunteer as per the operator's statement, was observed unsupervised caring for children. Facility Person #1 was observed retrieving two children from a room on the second floor and walking them downstairs to the main level where staff state the children were to be picked up by a separate transportation entity. There were no other staff persons present with Facility Person #1 to supervise the children.

Corrected by May 12, 2026

3270.113(a)(1) · 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.

THIRD CITATION; PREVIOUSLY CITED ON 10/1/25 AND 10/3/25: At approximately 3:50 PM on 1/30/26, Facility Person #1, classified as a volunteer as per the operator's statement, was observed unsupervised caring for children. Facility Person #1 was observed retrieving two children from a room on the second floor and walking them downstairs to the main level where staff state the children were to be picked up by a separate transportation entity. There were no other staff persons present with Facility Person #1 to supervise the children.

Corrected Corrected by Feb 2, 2026

Category: supervision. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

There was an open tote of medical supplies, including children's medication (acetaminophen, ibuprofen), on a chair in the hallway outside of the entrance to the second floor room in which children were receiving care. The medications were not labeled with a name of a child for whom they were intended.

Corrected Corrected by Jan 30, 2026

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

There was an open tote of medical supplies, including children's medication (acetaminophen, ibuprofen), on a chair in the hallway outside of the entrance to the second floor room in which children were receiving care. The medications were in reach of children.

Corrected Corrected by Feb 2, 2026

Category: health medication. 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 was no health assessment on file for Facility Person #1, observed caring for children.

Corrected Corrected by Jan 30, 2026

Category: ratio. Marked corrected in the state record.

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

On 10/3/25, at approximately 12:50 PM, Facility Person #2 answered the door to the facility to allow certification representative entry to the building, and was then observed entering Room 3. Facility Person #1 was observed standing in the hallway, then entering Room 5. According to staff statements, Facility Person #1 was watching the children in Rooms 3 and 5 from the hallway while Facility Person #2 answered the door. There were no other staff present in either classroom at the time to supervise the children in the classrooms. Upon returning to the classrooms, Facility Person #2 was observed supervising 11 preschoolers in Room 3, exceeding staff:child ratio requirements, while Facility Person #1 was observed supervising 10 preschoolers in Room 5.

Corrected Corrected by Oct 6, 2025

Category: supervision. 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 was a certificate for completion of required health & safety training on file for Facility Person #1 dated 11/14/23. A representative from the training entity, Better Kid Care, confirmed that Facility Person #1 did not complete that specific health & safety training at any time, but did complete different required health and safety trainings on other dates. The training certificate on file was invalid. There was no documentation of completion of any other required health & safety trainings in the staff file for Facility Person #1.

Corrected Corrected by Oct 3, 2025

Category: health medication. 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.

At approximately 12:50 PM, Facility Person #2 answered the door to the facility to allow certification representative entry to the building, and was then observed entering Room 3. Facility Person #1 was observed standing in the hallway, then entering Room 5. According to staff statements, Facility Person #1 was watching the children in Rooms 3 and 5 from the hallway while Facility Person #2 answered the door. There were no other staff present in either classroom at the time to supervise the children in the classrooms. Upon returning to the classrooms, Facility Person #2 was observed supervising 11 preschoolers in Room 3, while Facility Person #1 was observed supervising 10 preschoolers in Room 5.

Corrected Corrected by Oct 3, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · 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.

At approximately 12:50 PM, Facility Person #2 answered the door to the facility to allow certification representative entry to the building, and was then observed entering Room 3. Facility Person #1 was observed standing in the hallway, then entering Room 5. According to staff statements, Facility Person #1 was watching the children in Rooms 3 and 5 from the hallway while Facility Person #2 answered the door. There were no other staff present in either classroom at the time to supervise the children in the classrooms. Upon returning to the classrooms, Facility Person #2 was observed supervising 11 preschoolers in Room 3, while Facility Person #1 was observed supervising 10 preschoolers in Room 5.

Corrected Corrected by Oct 3, 2025

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

There were no staff evaluations on file for Facility Persons #3 and #4.

Corrected Corrected by Oct 6, 2025

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.

The health insurance policy numbers were not included on the emergency contact forms on file for children #1 and #4.

Corrected Corrected by Oct 1, 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. Until such time as the required pre- service trainings are completed, Facility Persons #1, #2 and #5 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 Facility Persons #1, #2 and #5, they may not work in child-care positions at the facility.

Facility Persons #1 and #5 were each observed to be caring for children unsupervised. Facility Person #2 cares for children unsupervised as per staff statements. These staff have not completed the following pre- service training required prior to caring for children unsupervised as follows: Facility Person #1 - no mandated reporter or required health & safety training documented; Facility Person #2 - no mandated reporter training documented; Facility Person #5 - no mandated reporter or required health & safety training documented.

Corrected Corrected by Oct 13, 2025

Category: supervision. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The most recent date documented that the emergency plan was reviewed was in June of 2024.

Corrected Corrected by Oct 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

There was no documentation of firesafety training within the previous 12 months on file for Facility Persons #3 and #4.

Corrected Corrected by Oct 6, 2025

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.

Facility Person #6 has been employed at the facility more than 90 days. There was no documentation of completion of the required preservice health & safety training on file for Facility Person #6.

Corrected Corrected by Oct 11, 2025

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

3270.32(a)/3270.192(4) · 1.The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 Persons #1, #2, #5 and #6 may not work in a child care position at the facility without all completed clearances on file. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE 2.The director/operator and any administrative staff with staff file access shall complete a technical assistance program through the ELRC regarding business practices as they relate to the development and maintenance of staff files, to ensure regulatory compliance, including compliance with the Child Protective Service Law. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED.

There was no DHS FBI clearance on file for Facility Person #1. The proof of application for the FBI clearance as well the state police, child abuse, and NSOR clearances on file for Facility Person #1 was dated after their start date in child care at the facility. There was no DHS FBI or NSOR clearance on file for Facility Person #2. There was no NSOR clearance on file for Facility Person #5 or Facility Person #6. Facility Persons #1 and #5 were observed caring for children unsupervised. According to staff statements, Facility Person #2 cares for children unsupervised.

Corrected Corrected by Feb 5, 2026

Category: supervision. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Facility Person #2 was classified as a Group Supervisor without documentation of the required education on file for the classification. Facility Person #5 was classified as an Assistant Group Supervisor without documentation of education or child care experience on file.

Corrected Corrected by Oct 1, 2025

Category: supervision. Marked corrected in the state record.

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

At approximately 12:49 PM, Child #7 was observed sitting on a bench in the hallway unsupervised.

Corrected Corrected by Oct 13, 2025

Category: supervision. Marked corrected in the state record.

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

There was a first aid kit in Room 4 on a backpack on the floor in an unlocked closet.

Corrected Corrected by Oct 1, 2025

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.

There was a small area of damaged plaster on the wall under the window in the Library.

Corrected Corrected by Oct 20, 2025

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

There was no daily activity schedule posted in Room 4.

Corrected Corrected by Oct 1, 2025

Category: physical safety. 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.

At approximately 12:49 PM, Child #7 was observed sitting on a bench in the hallway unsupervised.

Corrected Corrected by Oct 1, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · 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.

At approximately 12:49 PM, Child #7 was observed sitting on a bench in the hallway unsupervised.

Corrected Corrected by Oct 13, 2025

Category: supervision. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Original agreements were on file for children #1-#6.

Corrected Corrected by Oct 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

There was no emergency contact form in Room 3 for one of the children receiving care in that room.

Corrected Corrected by Oct 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

There was Zyrtec and Albuterol in a closet in Room 4, not labeled with the name of the child for whom they were intended.

Corrected Corrected by Oct 13, 2025

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

There was Zyrtec and Albuterol in a backpack on the floor in an unlocked closet in Room 4.

Corrected Corrected by Oct 13, 2025

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was no written parental consent to administer a child's Albuterol and Zyrtec and another child's Albuterol, Zyrtec and Epipen located in Room 4.

Corrected Corrected by Oct 1, 2025

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.

There were no health assessments on file for Facility Persons #5 and #6.

Corrected Corrected by Oct 1, 2025

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.

There were no TB test results documented and on file for Facility Persons #1 and #5.

Corrected Corrected by Oct 25, 2025

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.

There was no signed parental consent for emergency medical care for the child on file for children #2 and #6.

Corrected Corrected by Oct 13, 2025

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.

There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for children #2 and #6.

Corrected Corrected by Oct 13, 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.

There were no written references on file for Facility Person #4. There was one written reference each on file for Facility Person #3, #5 and #6.

Corrected Corrected by Oct 10, 2025

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.

There was no documentation of a fire drill at the facility conducted between 3/15/25 and the date the program closed for the summer (5/31/25).

Corrected Corrected by Oct 2, 2025

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.

There was no documentation of any smoke detector testing, required to be completed at least every 30 days, between 3/15/25 and the date the program closed for the summer (5/31/2025).

Corrected Corrected by Oct 13, 2025

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.

The certificate of compliance posted at the facility was expired.

Corrected Corrected by Oct 1, 2025

Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Documentation of child care training hours on file for Facility Person #4 indicate completion of 8.5 hours of acceptable training during the most recent review period (3/1/24-3/1/25)

Corrected Corrected by Oct 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

SECOND CITATION; CITED PREVIOUSLY ON 12/13/24: The pick up and drop off information was not posted at the facility.

Corrected Corrected by Mar 11, 2025

Marked corrected in the state record.

3270.111(b) · The written plan of daily activities shall be posted in the group space.

SECOND CITATION; CITED PREVIOUSLY ON 12/13/24: There were no daily schedules posted in Rooms 1 and 4.

Corrected Corrected by Mar 11, 2025

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.

SECOND CITATION; CITED PREVIOUSLY ON 12/13/24: There was no documentation of completed required health & safety training on file for Facility Person #1, employed at the facility more than 90 days.

Corrected Corrected by Mar 13, 2025

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.

SECOND CITATION; CITED PREVIOUSLY ON 12/13/24: There was no signed parental consent for emergency medical care on file for child #1.

Corrected Corrected by Mar 12, 2025

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.

SECOND CITATION; CITED PREVIOUSLY ON 12/13/24: There was no signed parental consent for administration of minor first-aid procedures by facility staff. on file for child #1.

Corrected Corrected by Mar 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.

SECOND CITATION; CITED PREVIOUSLY ON 12/13/24: There were no written nonfamily references on file for Facility Person #3. There was on written nonfamily reference on file each for Facility Personas#1 and and #2.

Corrected Corrected by Mar 13, 2025

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.

SECOND CITATION; CITED PREVIOUSLY ON 12/13/24: Documentation of smoke detector testing indicates testing occurred on 1/15/25 then again on 2/18/25, more than 30 days apart.

Corrected Corrected by Mar 11, 2025

Category: recordkeeping. 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.

There was no signed parental consent for emergency medical care on file for child #1.

Corrected Corrected by Dec 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.. Until such time as the required pre- service trainings are completed, staff persons #1-#4 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 persons #1-#4, staff persons #1-#4- may not work in a child-care position at the facility.

Facility Persons #1 and #3 did not have documentation of completion of approved pediatric first aid & CPR training or required health & safety training on file. Facility Person #2 and #4 did not have documentation of completion of approved pediatric first aid & CPR training on file. Facility Persons #1, #2, #3, and #4 were observed caring for children unsupervised.

Corrected Corrected by Dec 16, 2024

Category: supervision. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

The following hazards were observed: sharp adult scissors on a desk/table in Rooms 1 and 3; a paper cutter in a low, unlocked cabinet in Room 3; small screwdrivers in unlocked desk drawers in Rooms 3 and 4.

Corrected Corrected by Dec 16, 2024

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

There was no documentation of initial emergency plan training on file for Facility Persons #2- #6.

Corrected Corrected by Dec 16, 2024

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.

There was no documentation of completed required health & safety training on file for Facility Person #3, employed at the facility more than 90 days.

Corrected Corrected by Jan 2, 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). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 Persons #1, #2, #3 and #5 may not work in a child care position at the facility without all completed clearances on file.

There were no FBI or NSOR clearances, or proof of application for these clearances, on file for Facility Person #1. There was no NSOR clearance on file for Facility Persons #2, #3 and #5. Facility Persons #1, #2, #3, and #5 were observed caring for children unsupervised.

Corrected Corrected by Dec 16, 2024

Category: supervision. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

There was no documentation of the required education and/or child care experience on file for the staff classifications designated for Facility Persons #1 and #3 (assistant group supervisors) and Facility Persons #2, #4 and #5 (group supervisors).

Corrected Corrected by Mar 11, 2025

Category: supervision. 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.

The following toxics were accessible to children: Room 1 - Clorox wipes in an unlocked closet; Room 3 - sanitizing wipes, hand sanitizer, sunscreen in a low unlocked cabinet and deodorant in an unlocked desk drawer; Art Room - disinfectant wipes on a shelf in reach of children

Corrected Corrected by Dec 16, 2024

Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

There was Modge Podge on a shelf in the Art Room and there were bingo daubers in a cabinet in Room 3 labeled "keep out reach of children."

Corrected Corrected by Dec 16, 2024

Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

There were unlidded trash cans containing tissues, cups, milk bottles, etc., in the hallway and in Rooms 1-5.

Corrected Corrected by Dec 16, 2024

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in Room 1 did not include soap. The first aid kit in Room 2 contained only one adhesive bandage. The first aid kit in Room 3 contained no adhesive bandages. The first aid kit in Room 5 did not include scissors or tweezers.

Corrected Corrected by Dec 16, 2024

Category: health medication. 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.

There was no handwashing sign at a toilet in the girls restroom.

Corrected Corrected by Dec 16, 2024

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

3270.92(a) · Portable space heaters are not permitted.

There was a portable space heater in Room 4.

Corrected Corrected by Dec 16, 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.

There was a playhouse in Room 1 with a screw protruding from the surface. There were two cracked plastic storage bins in the Art Room.

Corrected Corrected by Dec 16, 2024

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.

Many of the sleeping bags throughout the facility, used as rest equipment for the children, were not labeled with the names of the children for whom their use is intended.

Corrected Corrected by Dec 16, 2024

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

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

There were no daily schedules posted in Rooms 1 and 4.

Corrected Corrected by Dec 16, 2024

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

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

The admission date was not specified on the agreement on file for child # 4.

Corrected Corrected by Dec 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The agreements on file for children #1-#5 were the originals.

Corrected Corrected by Dec 19, 2024

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.

The health insurance policy number was not included on the emergency contact form on file for child #3.

Corrected Corrected by Dec 19, 2026

Category: health medication. 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.

The emergency contact forms on file for children #1-#4 did not include the addresses of all release persons listed.

Corrected Corrected by Dec 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

There were no emergency contact forms in the gym for the children receiving care in that space.

Corrected Corrected by Dec 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The facility did not have a medical emergency transportation plan posted in the child care or play spaces.

Corrected Corrected by Dec 13, 2024

Category: transportation. Marked corrected in the state record.

3270.131(a)(3) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

The health assessment on file for child #4, a preschooler, was not dated.

Corrected Corrected by Jan 3, 2025

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

There were cough drops in an unlocked desk drawer in Room 1.

Corrected Corrected by Dec 16, 2024

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.

There was no health assessment/Tb test on file for Facility Person #1. The current health assessment on file for Facility Person #3 was completed after their start date.

Corrected Corrected by Dec 16, 2024

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The pick up and drop off information was not posted at the facility.

Corrected Corrected by Dec 16, 2024

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.

There was no signed parental consent for administration of minor first-aid procedures by facility staff. on file for child #1.

Corrected Corrected by Dec 16, 2024

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.

There were no written nonfamily references on file for Facility Persons #1 - #5.

Corrected Corrected by Jan 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

There was no documentation of completed acceptable pediatric first aid & CPR training on file for Facility Persons #2, #3 and #4 employed at the facility more than 90 days.

Corrected Corrected by Dec 16, 2024

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

3270.94(a)(2)/3270.94(a)(3) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at different times of the day or night, or both, if applicable. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted during various program activity times.

All fire drills conducted and logged have occurred between 9:00-9:30 AM.

Corrected Corrected by Jan 16, 2025

Category: recordkeeping. 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.

The fire drill log did not include the names of all staff and the correct number of children participating in each fire drill.

Corrected Corrected by Jan 16, 2025

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.

There was no documentation that the fire alarm system had been tested since the facility began operating in September 2024. Testing is required to be conducted at least every 30 days and documented..

Corrected Corrected by Dec 16, 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.

The information on how to access the regulations in this chapter and instructions for contacting the regional child care office was not posted/shared with parents.

Corrected Corrected by Dec 16, 2024

Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The trash cans in the restrooms were not lidded,

Corrected Corrected by Sep 5, 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. Staff without current acceptable pediatric first aid and CPR training may not care for children unsupervised. There were no other staff on record with current acceptable pediatric first aid and CPR training to supervise Facility Persons #1 and #2.

The first aid training on file for Facility Persons #1 and #2 - the two staff files presented for the initial inspection - included documentation of invalid pediatric first aid/ CPR training. The training for Facility Person #1 was not an approved curriculum. The documentation of training for Facility Person #2 solely documented completion of the online portion of the training.

Corrected Corrected by Sep 5, 2024

Category: supervision. 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. The facility's emergency plan shall include a plan for continuity of operations following an emergency.

The facility's emergency plan did not include a plan for continuity of operations.

Corrected Corrected by Sep 5, 2024

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The documentation of the facility's liability insurance did not include the address of this location.

Corrected Corrected by Sep 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

There were sharp adult scissors in a drawer in the Preschool 1 room.

Corrected Corrected by Sep 5, 2024

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

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The emergency plan was not posted at the facility.

Corrected Corrected by Sep 5, 2024

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

There was no letter to the parents detailing the emergency plan. The emergency plan description in the parent handbook did not include information on accommodations in the event of an emergency or annual emergency drills.

Corrected Corrected by Sep 6, 2024

Category: physical safety. 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.

There were 2 uncovered outlets on a surge protector in the Art Room.

Corrected Corrected by Sep 5, 2024

Marked corrected in the state record.

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

The first aid kits were in backpacks in reach of children in the Preschool 1, Preschool 2, and Pre-K 1 rooms.

Corrected Corrected by Sep 6, 2024

Category: health medication. 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.

There was no handwashing sign at one of the sinks in the girls restroom.

Corrected Corrected by Sep 5, 2024

Category: health medication. 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.

The health assessment on file for Facility Person #1 was invalid as the physician's signature date was whited out and a new date was written over it.

Corrected Corrected by Sep 6, 2024

Category: ratio. 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.

There was no documentation the plan had been sent to the local municipality and to the county emergency management agency

Corrected Corrected by Sep 5, 2024

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