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.

At the time of inspection, the facility had not documented in writing the annual review or update of the facility's emergency plan.

Corrected Corrected by Oct 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(5) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At the time of inspection, the emergency contact form for child #2 did not have the parent signature for consent of emergency medical and minor first-aid.

Corrected Corrected by Oct 15, 2025

Category: ratio. 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.

At the time of inspection, the emergency contact and financial agreement form for child #1's was not dated in the last 6 months.

Corrected Corrected by Oct 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

At the time of inspection, the file for staff member #4 did not contain verification of completing the Get Started with Center-Based Care -- Revised 2022 professional development training which included all the required topics in subsections (f)1-10.

Corrected Corrected by Sep 30, 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 Person #--- may not work in a child care position at the facility.

At the time of inspection, the file for staff member #7 contained an expired volunteer PA Child Abuse Clearance dated 2/27/2019.

Corrected Corrected by Oct 8, 2024

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.

At the time of inspection, the facility did not have a written annual evaluation for staff member #2.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

At the time of inspection, the facility did not have a completed Child Service Report signed by the child's parent in the last six months for child #2 and #3.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(5) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At the time of inspection, the emergency contact form for child #1 did not contain signed parental consent for emergency medical care and consent for administration of minor first-aid procedures by facility person.

Corrected Corrected by Sep 30, 2024

Category: ratio. 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.

At the time of inspection, child #3's and child #4's emergency contact forms was missing the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. 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.

At the time of inspection, files for staff members #5 and #6 did not contain health assessments dated with in the last 24 months.

Corrected Corrected by Oct 7, 2024

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

At the time of inspection, the financial agreement form for child #2's was not dated in the last 6 months, last dated 1/25/24.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. 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.

At the time of inspection, the file for staff member #1did not contain two written nonfamily reference letters from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

At the time of inspection, the files for staff members #3 and #4 did not contain verification of completion of the annual minimum of 12 clock hours of child care training.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.31(f) · 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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

At the time of inspection, the file for staff member #4, hired 10/20/08; did not include verification of completing the Health and Safety Training Updated (2022) required under law for child care staff by December 2022.

Corrected Corrected by Oct 6, 2023

Category: ratio. Marked corrected in the state record.

3270.33(a)/3270.36(b)(5) · 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. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

At time of inspection, the file for staff member #3 did not include verification of education nor verification of experience necessary to qualify for the position of Assistant Group Supervisor.

Corrected Corrected by Nov 10, 2023

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.

At the time of inspection, the facility did not have verification of the annual staff evaluations for staff member #2.

Corrected Corrected by Nov 17, 2023

Category: recordkeeping. 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.

At the time of inspection, the emergency contact forms for child #2 was missing the address of a release person.

Corrected Corrected by Nov 17, 2023

Category: recordkeeping. 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.

At the time of inspection, the file for staff member #2 didn't contain a valid health assessment dated in the last 24 months. The health assessment in the file for staffer #2 was dated 10/3/20.

Corrected Corrected by Nov 17, 2023

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.

At the time of inspection, the emergency contact form for child #2, #3, #4, and #5 did not contain signed parental consent for emergency medical care and consent for administration of minor first-aid procedures by facility person.

Corrected Corrected by Nov 17, 2023

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.

At the time of inspection, the file for staff member #3 was missing one written nonfamily reference letters from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Oct 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

At the time of inspection, the file for child #1 D.O.B. 3/16/20, enrolled 6/26/23; did not contain an initial health assessment.

Corrected Corrected by Nov 17, 2023

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

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the unannounced inspection on 1/4/2023 the following staff did not have pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire: Staff person #1 #2 #3 #4

Corrected Corrected by Feb 17, 2023

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

3270.94(a)(9)/3270.95(b) · 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During the unannounced inspection on 1/4/2023 the fire alarm log was missing testing dates from 7/2022 8/2022 9/2022 10/1011 11/1011 and 12/2022. Fire drill had not been logged since 7/2022.

Corrected Corrected by Jan 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During the renewal inspection on 8/3/2022 the medication for child #1 ( Located inside the facility) expired in 2021.

Corrected Corrected by Aug 3, 2022

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

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection on 8/3/2022 the health assessment for staff person #1 did not include TB testing dates.

Corrected Corrected by Aug 4, 2022

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

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection staff person #1 did not have verification of education on file at the facility.

Corrected Corrected by Oct 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: 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.

During the renewal inspection on 9/21/2021 staff person #1 , start date 9/15/2021, did not have 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.

Corrected Corrected by Oct 18, 2021

Category: supervision. Marked corrected in the state record.

3270.133(7)(viii) · A medication log shall include special notes related to problems of administration.

During the renewal inspection on 9/21/2021 medication for child #1 was observed at the facility. The medication did not indicate dosage amount for the age of child and required a physician's dosage note.

Corrected Corrected by Sep 23, 2021

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection on 9/21/2021 the file for staff person #1 did not have a completed health assessment with TB testing and results as required.

Corrected Corrected by Oct 22, 2021

Category: ratio. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

During the renewal inspection on 9/21/2021 written statements giving the formula and feeding schedule for an infant was not obtained from the parent and on file at the facility.

Corrected Corrected by Oct 22, 2021

Category: nutrition. 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

During the renewal inspection on 9/21/2021 staff person #1 did not have Two written, nonfamily references from individuals attesting to staff person's suitability to serve as a facility person on file at the facility.

Corrected Corrected by Oct 18, 2021

Category: recordkeeping. Marked corrected in the state record.