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.

An infant was observed to be sleeping in a crib in the Infant Room. One side of the crib was against the wall, and another side of the crib was against a window. This child did not have at least 2 feet of spacing on three sides of their crib.

Corrected Corrected by Nov 4, 2025

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

3270.31(e)(4)(i)/3270.31(e)(4)(ii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. 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.

Staff #5 did not complete pediatric first aid and CPR training prior to the previous trainings expiring after 2 years. This is evidenced by the following training dates:11/29/2022 and 5/23/2025. Staff #6 had fire safety trainings on file dated 3/19/2024 and 9/24/2025. Staff #10 had fire safety trainings on file dated 3/19/2024 and 5/20/2025. More than a year had lapsed between each training.

Corrected Corrected by Nov 4, 2025

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). 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. Staff Person #13 may not work in a childcare position that involves direct contact and routine interaction with children until all required paperwork is completed and on file at the facility.

Staff #5 had Child Abuse Clearances on file dated 10/22/2020 and 10/23/2025. More than 60 months had lapsed between each clearance. Staff #13 and Staff #21 (see code sheet for first day with children) did not have completed NSOR Clearances on file prior to working with children. Staff #13 obtained the clearance on 8/27/2025, and Staff #21 obtained the clearance on 10/1/2025. Also, the required Department of Human Services FBI Clearance was not on file for Staff #13. Staff #13 only had a Department of Education FBI clearance on file dated 3/22/2025, but this clearance is not acceptable for childcare employment. Staff #20 (see code sheet first day with children) did not have proof that the missing DHS FBI clearance was requested prior to working with children. The clearance was not obtained until 5/6/2025.

Corrected Corrected by Oct 23, 2025

Category: background checks. 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.

Protective receptacle covers were observed to be missing from three electrical outlets that were on an electrical power outlet strip near the sink in the Discovery Preschool A Classroom. These outlets were accessible to the toddlers being supervised in that room.

Corrected Corrected by Nov 4, 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.

Babyganics sunscreen and Aquaphor healing ointment labeled, "keep out of reach of children," were observed in a black bag that was in a wooden cubby shelf in the Young Toddler Room. Kay lotion hand soap labeled, "keep out of reach of children," was observed to be laying on top of a paper towel dispenser in the Discovery Preschool B Restroom. Nature Made B-Complex with C vitamins and Nature Made B1 vitamins labeled, "place out of reach of children," were observed in a wooden cubby shelf in the Pre-K Room. In the same area, there was also a Top Care Health Children's Ibuprofen labeled, "keep out of reach of children". All of these items were accessible to children.

Corrected Corrected by Oct 23, 2025

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

3270.77(a)/3270.102(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. 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.

The School Age Restroom, that was located near the cubbies, had chipping paint on the wall near the light switch and on the wall next to the cabinet. The School Age Restroom, that was located near the birthday wall, had chipping paint on the wall behind the sink. The Pre-K Restroom had peeling paint on the wall behind the toilet. The Preschool Restroom had peeling paint on the blue and white walls that were near the toilet. The Infant Room had peeling paint on a yellow wall that was near an electrical outlet. Chipping paint was observed on a blue bicycle in the Large Outdoor Play Area. Also, plastic rain gutters in the Large Outdoor Play Area and Toddler Outdoor Play Area were cracked and had sharp edges. Four ripped foam rock blocks and 16 foam rock blocks with peeling plastic were observed on a shelf in the School Age Room. The School Age Restroom, that was located near the birthday wall, had one toilet with one exposed bolt near its base. Nineteen light gray foam bocks, that were observed on a white shelf near the window in the Young Toddler Room, had multiple bite marks.

Corrected Corrected by Nov 21, 2025

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

3270.102(c) · 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.

The mulch around the curved blue slide, that was part of the jungle gym in the Large Outdoor Play Area, was measured to be 7 inches. Also, the mulch around the wavy blue slide, that was part of the same jungle gym in the Large Outdoor Play Area, was measured to be 8 inches. At least nine inches of loose fill material is required around embedded equipment at all times.

Corrected Corrected by Nov 21, 2025

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

3270.103 · 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.

Three plastic Ziploc bags were observed in a wooden cubby in the Young Toddler Room. These bags were accessible to the toddlers who were being supervised in that room, and Staff #1 acknowledged that the children were still putting objects in their mouth. A plastic bag containing assorted rainbow-colored buttons was observed in the Discovery Preschool B Room. In this same room, plastic bags were observed in a wooden drawer by the sink. Also, plastic bags were observed in the Discovery Preschool B Restroom. These bags were accessible to the toddlers who had access to both rooms, and Staff #21 acknowledged that the children were still putting objects in their mouth. Also, plastic bags were observed in the wooden closet near the changing table in the Discovery Preschool A Room. These bags were accessible to the toddlers in that room, and Staff #11 acknowledged that the children were still putting objects in their mouth.

Corrected Corrected by Nov 4, 2025

Category: supervision. 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.

The blue couch in the Discovery Preschool B Room had torn plastic. A wooden shelf in the patio area of the Large Outdoor Play Area had chipping and splintering wood. The Toddler Outdoor Play Area had a purple and white colored table with multiple cracks in its top.

Corrected Corrected by Nov 21, 2025

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

3270.124(b)(2)/3270.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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 emergency contact information on file for Child #5 was observed to be missing the name and telephone number of the child's physician or source of medical care and the health insurance policy number.

Corrected Corrected by Nov 4, 2025

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 information on file for Child #3 and Child #5 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 4, 2025

Category: recordkeeping. 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.

The emergency contact and financial agreement information on file for Child #1 were dated 1/2025 and 8/2025. More than 6 months had passed since a parent last reviewed, updated, and signed the emergency contact and financial agreement forms.

Corrected Corrected by Nov 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The health assessments on file for Staff #4 were dated 9/27/2022 and 10/7/2024. More than 24 months had lapsed between health assessments. Also, the only health assessment and tuberculosis screening test result on file for Staff #13 (see code sheet for first day with children) were dated 9/19/25, which was after the staff began working with children.

Corrected Corrected by Nov 4, 2025

Category: ratio. 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.

The record for Child #5 did not contain signed parental consent for emergency medical care for the child or the administration of minor first-aid procedures by facility staff.

Corrected Corrected by Nov 4, 2025

Category: ratio. Marked corrected in the state record.

3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The record for Child #2 was observed to be missing a copy of the initial financial agreement between the parent and the operator. Only the updated financial agreement, dated 8/20/25, was on file.

Corrected Corrected by Nov 4, 2025

Category: recordkeeping. 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.

Staff #13 did not have any proof of education or experience on file at the facility.

Corrected Corrected by Nov 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The facility had an emergency drill log on file that was dated 10/1/2025. However, Staff #19 could not find the previous emergency drill log records to prove that they were conducting emergency drills annually.

Corrected Corrected by Nov 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The initial health assessment on file for Child #2 (see code sheet for date of admission) was dated 9/24/25. Child #5 (see code sheet for date of admission) did not have a health assessment on file.

Corrected Corrected by Nov 4, 2025

Category: health medication. 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.

The agreement on file for Child #1, #2, #3, and #5 through #9 did not specify the date of the child's admission.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. 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. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Staff person #19 acknowledged that parents did not receive a letter explaining emergency procedures and there was no proof on file which indicated that parents received a letter explaining emergency procedures.

Corrected Corrected by Nov 1, 2024

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.

Staff person #8 had fire safety trainings on file dated 8/16/23 and 9/10/24. More than a year had lapsed between the trainings.

Corrected Corrected by Sep 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 - 10) within 90 days of hire.

Staff persons #12 and #17 had not completed the following required pre-service training within 90 days of their date of hire (see code sheet for date of hire): Pediatric First Aid/CPR.

Corrected Corrected by Oct 1, 2024

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 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.

Staff person #9 had Child Abuse Clearances on file dated 3/12/19 and 3/19/24; Staff person #11 had DHS FBI Clearances on file dated 9/7/18 and 3/18/24; and Staff person #15 had Child Abuse Clearances on file dated 11/20/18 and 1/9/24. More than 60 months had lapsed between each clearance.

Corrected Corrected by Mar 19, 2024

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

3270.66(a)/3270.66(d) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Sun X 30+ sunscreen lotion, labeled "keep out of reach of children" was observed on the floor of an unlocked closet in the Pre-Kindergarten Room. Neutrogena sunscreen, labeled "keep out of reach of children" was observed, about knee height, in a book bag that was laying on top of green cots in the Pre-Kindergarten Room. A Chinese evergreen plant was observed, about hip height, on a brown table in the Preschool Room. A golden pothos plant, that was inaccessible to children, was observed on a wooden shelf in the Discovery Preschool Room.

Corrected Corrected by Oct 24, 2024

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

3270.67(d)/3270.82(i) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

A trash can in the Pre-Kindergarten Room restroom was observed to have used paper towels and was not plastic lined. A trash can in the Preschool Room restroom was observed to have a soiled diaper and was not plastic lined. The School Age Room restroom, near the blue cots, was observed to have a trash can with used paper towels. This trash can was not lined with plastic. The School Age Room restroom, near the doorway, was observed to have a trash can with used paper towels and no trash can lid.

Corrected Corrected by Nov 1, 2024

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

A telephone, that was located on a wooden shelf by the window in the Preschool Room, was observed to be missing the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center. A telephone, that was located on top of a filing cabinet in the School Age Room, was observed to be missing the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center.

Corrected Corrected by Oct 24, 2024

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

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

The floors for Bus #19139, Bus #19156, and Bus #19159 were observed to have trash, such as food wrappers and used tissues. There was a sticky residue observed on the floor of Bus #19139. Two brown stained ceiling tiles and one ceiling tile with a hole were observed in the Pre-Kindergarten Room. Four brown stained ceiling tiles and one dusty air vent were observed in the Toddler B Room. Two dusty air vents, one brown stained ceiling tile by the air vent, and one cracked ceiling tile by the sink area were observed in the Toddler A Room. Two dusty air vents were observed in the Infant and Discovery Preschool Rooms. Three dusty air vents were observed in the School Age Room. Chipped paint was observed on the orange wall in the Toddler Rooms and all along the walls in the Preschool Room.

Corrected Corrected by Nov 15, 2024

Category: nutrition. Marked corrected in the state record.

3270.102(a)/3270.104(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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Five assorted color pillows in the Pre-Kindergarten Room were observed to have stains. Two blue cots, labeled #2 and #5, that were in the Pre-Kindergarten Room, were observed to have torn mesh. A rusty metal cabinet was observed in the Pre-Kindergarten Room Restroom, Preschool Room restroom, and both School Age Room restrooms.

Corrected Corrected by Nov 15, 2024

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator that was located in the Infant Room was observed to be missing a thermometer. Only the freezer section of the refrigerator had a thermometer, but it was embedded in ice and could not be read.

Corrected Corrected by Nov 15, 2024

Category: nutrition. Marked corrected in the state record.

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

The agreement on file for Child #8 and #9 did not specify the child's arrival and departure times. The agreement on file for Child #8 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 25, 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.

The emergency contact information on file for Child #8 did not contain a parent's work phone number. The emergency contact information on file for Child #9 did not include a release person's address.

Corrected Corrected by Oct 25, 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 emergency contact information on file for Child #6 did not include health insurance coverage and policy number information.

Corrected Corrected by Oct 25, 2024

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for Child #8 contained a recent health report that was dated 4/9/24, but it was missing statements which indicated that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected Corrected by Oct 25, 2024

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

3270.175(c) · Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Bus #19139, Bus #19156, and Bus #19159 were observed to be missing the manufacturers' instructions for use of safety restraints.

Corrected Corrected by Oct 24, 2024

Category: transportation. 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.

The record for Child #6 did not contain signed parental consent for emergency medical care for the child or the administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 25, 2024

Category: ratio. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The fire drill log that was on file was observed to have the same hypothetical location of the fire (i.e. kitchen) for two consecutive fire drills that occurred on 8/21/24 and 9/16/24.

Corrected Corrected by Nov 1, 2024

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.

The fire detection system was not tested every 30 days as indicated by the following fire detection system logs that were on file: 10/20/23 to 11/20/23, 1/19/24 to 2/19/24, 3/19/24 to 4/19/24, 5/17/24 to 6/17/24, and 8/16/24 to 9/16/24. Also, the last fire detection system log on file was dated 9/16/24, but another test should have occurred by 10/16/2024.

Corrected Corrected by Nov 1, 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.

A renewal inspection was conducted on 10/23/23. The facility emergency plan does not address continuity of operations.

Corrected Corrected by Nov 17, 2023

Category: ratio. 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 #2 will complete center based health and safety training, respectively. Staff person #2 will have until 11/29/23 to complete the required training. Staff persons #1 and #3 will have until 11/29/23 to complete pediatric first aid/CPR training from a PQAS approved trainer. Until such time, as the required training has been completed, staff #1 and #3, must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #3, then they may not work in a child care position at the facility.

A renewal inspection was conducted on 10/23/23. Staff person #2 completed the home based health and safety 10 hour training and not the Center based health and safety. Staff #1 and Staff #3 have not completed pediatric first aid/CPR training, from a PQAS approved trainer within 90 days of their date of hire. (See code sheet).

Corrected Corrected by Nov 29, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not be present in a childcare position at the facility.

A renewal inspection was conducted on 10/23/23. Staff person #1 does not have FBI and NSOR clearances on file

Corrected Corrected by Oct 26, 2023

Category: background checks. 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.

A renewal inspection was conducted on 10/23/23. An uncovered accessible outlet was observed in the following areas: In the back of the Pre-K room near the window, in the 2nd Pre-K room on the back left near the table, and in the 1 year old room in the power strip near the changing table.

Corrected Corrected by Nov 17, 2023

Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

A renewal inspection was conducted on 10/23/23. The emergency telephone numbers were not posted by the telephone in the 2nd Pre-K room in the back of the facility.

Corrected Corrected by Oct 23, 2023

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

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

A renewal inspection was conducted on 10/23/23. The emergency bags in both Pre-K rooms did not contain water bottles. Staff members indicated these bags are their emergency bags.

Corrected Corrected by Oct 23, 2023

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.

A renewal inspection was conducted on 10/23/23. In the Pre-K room towards the back right and the Pre-K bathroom have water damaged ceiling tiles. In the 2nd Pre-K room bathroom there is plastic over the toilet tank. The lid is broken.

Corrected Corrected by Dec 15, 2023

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

3270.102(c) · 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.

A renewal inspection was conducted on 10/23/23. The mulch under the slides and climber on the preschool/school age playground measured between 2 inches and 4 inches deep. Required depth of wooden mulch is 9 inches.

Corrected Corrected by Dec 15, 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.

A renewal inspection was conducted on 10/23/23. In the 2 year old classroom during nap time it was observed that several children's cots were not spaced 2 feet apart on three sides.

Corrected Corrected by Nov 27, 2023

Category: physical safety. 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.

A renewal inspection was conducted on 10/23/23. Child #2 did not have health insurance and policy number listed in the child file. Child #3 did not have health insurance policy number listed in the child's file.

Corrected Corrected by Dec 15, 2023

Category: health medication. 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.

A renewal inspection was conducted on 10/23/23. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the back Pre-K and 2 year old classroom.

Corrected Corrected by Oct 23, 2023

Category: transportation. 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.

A renewal inspection was conducted on 10/23/23. Child #4 does not have an updated health report in the last year. The last health report is dated 2/3/22. Please see code sheet for child 2's DOB.

Corrected Corrected by Dec 15, 2023

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

3270.131(d)(5)/3270.131(e)(3) · 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 child care group settings). Child(ren) #1, #3 and #4 will be removed from care by close of business on 10/23/23 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 10/23/23. Child #1 and #3's immunization record indicates the children do not have the 2022 flu vaccine and no exemption letters are in the children's file. The children are over six months of age. Child #4 is missing their 2nd Hepatitis A vaccine and no exemption letter are in the child's file. This is not in accordance with the ACIP recommended schedule.

Corrected Corrected by Dec 15, 2023

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

A renewal inspection was conducted on 10/23/23. In the infant room refrigerator was an unlabeled infant bottle with milk in it.

Corrected Corrected by Oct 23, 2023

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.

A renewal inspection was conducted on 10/23/23. The operator acknowledged that there are no accident or injury reports kept in a facility file.

Corrected Corrected by Dec 15, 2023

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

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

A renewal inspection was conducted on 10/23/23. The fire drill log indicates that the alarms are tested during each fire drill. The log indicates the alarms were tested more than 30 days apart on 2/22/23 to 3/22/23.

Corrected Corrected by Nov 22, 2023

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 10/23/23. The operator did not provide the parent of each child enrolled with information on how to access the regulations.

Corrected Corrected by Nov 3, 2023

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.

A renewal inspection was conducted on 10/23/23. The operator acknowledged that the annual traffic letter was not mailed to local traffic safety authorities.

Corrected Corrected by Oct 24, 2023

Marked corrected in the state record.

3270.103 · 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.

Incident investigation verified that Child #1 swallowed a marble found on the floor of the classroom. Staff was aware that child puts objects in their mouth. Staff also admitted to still having items less than one inch accessible to that child in the classroom.

Corrected Corrected by May 16, 2023

Marked corrected in the state record.

3270.103 · 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. The facility shall remove all toys with objects less than an inch from any classroom in which Child #1 is in until child is no longer in the classroom or stops behavior of putting objects in their mouth.

Complaint investigation verified that Child #1 swallowed a marble found on the floor of the classroom. Staff was aware that child puts objects in their mouth. Staff also admitted to still having items less than one inch accessible to that child in the classroom.

Corrected Corrected by May 16, 2023

Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff person #1 will have until 11/8/2022 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

The most recent first aid and cardiopulmonary resuscitation (CPR) certification on file for Staff #1 dated 1/10/2021 is not specified to be pediatric first aid and pediatric cardiopulmonary resuscitation (CPR).

Corrected Corrected by Oct 18, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #2 will have until 11/8/2022 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 an AGS 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 child-care position at the facility.

Staff #2 did not complete mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/7/2016 and the updated mandated reporter training on file being dated 10/31/2021.

Corrected Corrected by Oct 31, 2021

Category: supervision. Marked corrected in the state record.

3270.131(b)(1)/3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The most recent health report on file for Child #1, a young toddler is dated 11/30/2021. The most recent health on file for Child #2, a preschool child is dated 10/5/2021.

Corrected Corrected by Dec 2, 2022

Category: health medication. 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.

On 10/12/20022, the facility did not have documented that an annual emergency drill has been conducted during the previous 12 months.

Corrected Corrected by Nov 4, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The fire alarm system at the facility was tested on 10/12/2022. The alarm was audible to persons in all indoor childcare spaces in the facility with all intervening doors closed. However, it was observed that the volume of the alarm was considerably lower in the infant room. It was determined that this increases the possibility that the alarm would not be heard in the infant room in the event that some or any of the infants were crying or if staff was playing music for the infants. The fire drill/detection log indicated that the system has not been getting tested at least every 30 days.

Corrected Corrected by Dec 16, 2022

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Child #1 has a date of admission listed as 3/26/19 but does not have an immunization record on file or a letter of exemption from the parent or doctor if it is for a medical reason. Child file #1 will need an updated immunization record on file or the exemption letter.

Corrected Corrected by Dec 17, 2021

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

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

The operator does not have documentation on file to verify that fire alarm testing is being conducted every 30 days since 12/19/20 when the regulation went into effect

Corrected Corrected by Nov 30, 2021

Category: recordkeeping. Marked corrected in the state record.