A Community Of Blessings Llc

3270.21/3270.119 · Conditions at the facility may not pose a threat to the health or safety of the children. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Observed an infant sleeping in the infant classroom with the mattress still inside the original plastic packaging with a suffocation warning label on the bag stating to "remove before use". The mattress did not have a crib sheet, and the infant was sleeping directly on the plastic bag. The American Academy of Pediatrics recommends infant's sleep in a crib, bassinet or portable play yard with a firm, flat mattress and a fitted sheet.

Corrected by Apr 29, 2026

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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.

Observed staff person #1 working alone in the infant classroom. The file for staff person #1 does not include verification of 2 years of child care experience to qualify as an assistant group supervisor.

Corrected by Apr 29, 2026

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3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Observed staff person #1, an aide, working unsupervised in the infant classroom. Staff person #1 was not being supervised at all times by a staff person qualified at a minimum as an assistant group supervisor.

Corrected by Apr 30, 2026

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

Observed an electrical outlet in the infant classroom and in the toddler / preschool area in the main classroom which did not have a protective receptacle cover which were accessible to children 5 years of age and younger.

Corrected by Apr 29, 2026

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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.

Observed an unlocked black cabinet in the kitchen area next to the children's eating area which contained cleaning materials labeled "Keep out of reach of children", that were accessible to children. Continued noncompliance previously cited on 03/11/2026, "Observed an unlocked black cabinet in the kitchen area next to the children's eating area which contained cleaning materials labeled "Keep out of reach of children", that were accessible to children. Observed diaper creams and baby powder on the lower shelves of the changing table located in the infant/young toddler area (back left section of the main room) labeled "Keep out of reach of children", which were accessible to children."

Corrected by Apr 29, 2026

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3270.78/3270.113(a) · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. 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.

Observed the lights in infant classroom room were turned off during naptime which did not provide sufficient lighting in the room to see all of the children napping in the room. The room does not have windows to produce natural light when the classroom lights are turned off

Corrected by Apr 29, 2026

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

Observed a toilet in the boys/men's bathroom in the back room (the kitchen/storage/cafeteria area) which was not flushed after use." Continued noncompliance previously cited on 03/11/2026, "Observed 2 toilets in the boys/men's bathroom in the back room (the kitchen/storage/cafeteria area) which were not flushed after use."

Corrected by May 7, 2026

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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.

Observed an infant and a young toddler sleeping in cribs located in the infant classroom which were not labeled for the use of specific child using the crib. Observed the rest equipment in the toddler / preschool area in the main classroom were labeled with numbers but did not have a coordinating chart to identify which rest equipment was to be used for each child.

Corrected by Apr 30, 2026

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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.

Observed rest equipment in the toddler / preschool area in the main classroom which did not have a least 2 feet of space on three sides while in use.

Corrected by Apr 29, 2026

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3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

A written plan of daily activities was not established or posted in the infant classrooms. Continued noncompliance previously cited on 03/11/2026, "A written plan of daily activities was not established for each group. During the morning hours, it was observed that the staff were not engaged in activities with the children and the children were engaged in free play during the time of the inspection." and "A written plan of daily activities was not posted in each group space or classroom".

Corrected by Apr 30, 2026

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Observed the diaper changing station in the infant classroom had the hands-free lid removed and sitting on the floor next to the trashcan which left the trashcan without a lid and unable to be used in a hands-free manner Continued noncompliance previously cited on 03/11/2026, "Observed the diaper changing station in the older toddler (front left section of the main room) did not have a hands-free covered can for the disposal of soiled diapers. Observed the lidded trash can at the diaper changing station in the infant/young toddler classroom did not operate in a hands-free manner. The trash can, which has a battery-operated hands-free mechanism, did not have batteries,"

Corrected by Apr 29, 2026

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3270.161(c) · Food that has been previously served to a person or returned from a table shall be discarded.

Observed a baby bottle in the windowsill and a bottle inside a crib in the infant classroom with formula/milk which had not been discarded after being served. Continued noncompliance previously cited on 03/11/2026, "Observed a baby bottle on top of the shelf in the older toddler area (front left section of the main room) with some formula/milk which had not been discarded after being served."

Corrected by Apr 29, 2026

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3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Continued noncompliance previously cited on 03/11/2026, "The menu was not posted in a conspicuous location at the facility. The menu was posted in the back room / kitchen on the refrigerator in an area that is not frequented by parents dropping off or picking up children."

Corrected by Apr 29, 2026

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3270.166(6) · Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Observed a bottle containing formula/milk in the crib with a napping young toddler in the infant classroom.

Corrected by Apr 29, 2026

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3270.61/3270.61(c) · Measurement and use of indoor child care space. 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.

Observed 3 children in the back infant room which has a capacity of 2 children.

Corrected by Apr 29, 2026

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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.

The file for staff person #5 did not include a copy of an updated PA State Police clearance within 60 months of the previous clearance. The PSP clearance on file was dated 02/02/2021 with no subsequent clearance on file. (Corrected at the time of the inspection. A PSP clearance dated 02/26/2026 was received for staff person #6 and placed in the file.)

Corrected by Mar 11, 2026

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3270.51/3270.52 · 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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: 1. The required staff: child ratios must be maintained at all times. 2. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff: child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Upon arrival to the facility, staff person #1 was observed outside on the sidewalk talking on their phone. Staff person #2 and #3 were over ratio caring for 1 infant, 1 young toddler, 3 older toddlers, and 8 preschool age children. Staff person #2 was responsible for 6 preschool age children and staff person #3 was responsible for 1 infant, 1 young toddler, 3 older toddlers and 2 preschool children. The maximum group size with an infant in the group is 1:4.

Corrected by Aug 11, 2026

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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.

Observed an unlocked black cabinet in the kitchen area next to the children's eating area which contained cleaning materials labeled "Keep out of reach of children", that were accessible to children. Observed diaper creams and baby powder on the lower shelves of the changing table located in the infant/young toddler area (back left section of the main room) labeled "Keep out of reach of children", which were accessible to children.

Corrected by Mar 11, 2026

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3270.77(a)/3270.104(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Observed peeling paint on the corner rails of the changing table located in the infant/young toddler area (back left section of the main room).

Corrected by Mar 11, 2026

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3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Observed the portable sink in the older toddler (front left section of the main room) did not have steps or a platform for the children to easily reach the sink for handwashing.

Corrected by Apr 1, 2026

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

Observed 2 toilets in the boys/men's bathroom in the back room (the kitchen/storage/cafeteria area) which were not flushed after use.

Corrected by Mar 11, 2026

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3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Observed the diaper changing table located in the infant/young toddler area (back left section of the main room) did not have a source of running water for handwashing.

Corrected by Apr 22, 2026

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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.

Observed an infant and a young toddler napping in Pack N Plays which were not labeled with the child's name for whom the rest equipment was intended.

Corrected by May 1, 2026

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

A written plan of daily activities was not posted in each group space or classroom.

Corrected by Apr 13, 2026

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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.

Upon arrival to the facility, staff person #1 was observed outside on the sidewalk talking on their phone. When the Certification Representative and the Certification Supervisor rang the doorbell, staff person #1 left their assigned group of 1 infant and 1 young toddler to answer the door and was on the opposite side of the half-wall unable to supervise their children from across the room. Staff person #1 was not physically present with the children in their group while outside or while they were on the opposite side of the half-wall of the facility near the entrance. It was stated that staff person #3 was caring for their assigned group in the older toddler area (front left section of the main room) while also caring for the infant and young toddler napping in the of the infant/young toddler area (back left section of the main room). Staff person #3 was not physically present with the napping infant & toddler.

Corrected by Mar 12, 2026

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3270.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

The parent handbook, provided to the parent at the time of enrollment, does not include the facilities general daily schedule.

Corrected by Mar 11, 2026

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Observed the diaper changing station in the older toddler (front left section of the main room) did not have a hands-free covered can for the disposal of soiled diapers. Observed the lidded trash can at the diaper changing station in the infant/young toddler classroom did not operate in a hands-free manner. The trash can, which has a battery-operated hands-free mechanism, did not have batteries,

Corrected by Mar 11, 2026

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3270.161(c) · Food that has been previously served to a person or returned from a table shall be discarded.

Observed a baby bottle on top of the shelf in the older toddler area (front left section of the main room) with some formula/milk which had not been discarded after being served.

Corrected by Mar 12, 2026

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

Observed a baby bottle on top of the shelf in the older toddler area (front left section of the main room) which was not labeled.

Corrected by Mar 11, 2026

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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.

The file for staff person #4 did not include verification of child care experience or education prior to service at the facility.

Corrected by Mar 12, 2026

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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.

Information on how to access the regulations in this chapter electronically with instructions for contacting the central regional child care office was not posted in a conspicuous location at the facility with the certificate of compliance or provided to the parents of each child enrolled.

Corrected by May 4, 2026

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3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

A written plan of daily activities was not established for each group. During the morning hours, it was observed that the staff were not engaged in activities with the children and the children were engaged in free play during the time of the inspection.

Corrected by Mar 12, 2026

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3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The menu was not posted in a conspicuous location at the facility. The menu was posted in the back room / kitchen on the refrigerator in an area that is not frequented by parents dropping off or picking up children.

Corrected by Mar 11, 2026

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3270.183(b) · A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

On 11/5/25, it was observed that children's allergy information was posted, allowing any visitors to see the information. CORRECTED ON SITE.

Corrected by Nov 5, 2025

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

On 11/5/25, it was observed that a large, heavy box was stored upright on the wall on the right side of the room in the school age area posing a crushing hazard. CORRECTED ON SITE.

Corrected by Nov 5, 2025

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

On 11/5/25, it was observed that the trash can located between the sink and the diaper changing area near the bathrooms.

Corrected by Nov 5, 2025

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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.

On 11/5/25, it was observed that telephone numbers of the nearest hospital, police department, fire department, ambulance, and poison control center was not posted by the phone at the front desk.

Corrected by Nov 5, 2025

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3270.75(b)/3270.133(4) · A first-aid kit must be inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

On 11/5/25, it was observed that a first aid kit containing Benadryl cream was accessible to children in the school age area of the room.

Corrected by Nov 5, 2025

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

On 11/5/25, it was observed that the changing table in the Preschool area (front right from the front door) was unstable.

Corrected by Nov 5, 2025

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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.

On 11/5/25, it was observed that the pack and plays in the infant/toddler (front left from the front door) section of the room were not labeled for individual use.

Corrected by Nov 6, 2025

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

On 11/5/25, it was observed that child 1 (who is an infant) was asleep in a bouncy seat from 11:30 until 11:45 when staff were asked by certification to move the child.

Corrected by Nov 6, 2025

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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.

On 11/5/25, it was observed that the emergency contact information for child 2 did not contain health insurance information or a policy number.

Corrected by Nov 6, 2025

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3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

On 11/5/25, it was observed that a staff person did not wash their hands after 2 different diaper changes.

Corrected by Nov 6, 2025

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3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

On 11/6/25, it was observed that the facility menu was not posted.

Corrected by Nov 7, 2025

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

On 11/5/25, it was observed that there were 2 infants in care and no infant feeding schedules were present.

Corrected by Nov 6, 2025

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

On 11/5/25, it was observed that pick up and drop off procedures describing the safe routes around the facility were not posted, for the parents at the facility.

Corrected by Nov 5, 2025

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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.

On 11/5/25, it was observed that the emergency contact information for children 2 and 3 did not contain signed parental consent for emergency medical care or minor first aid.

Corrected by Nov 7, 2025

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3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

On 8/26/25, it was observed that children 4. 5, and 10 were present at the facility and did not have a complete child file available.

Corrected by Aug 27, 2025

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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.

On 8/26/25, it was observed that Clorox wipes were accessible to children in the school age area right outside the office area.

Corrected by Aug 26, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #8 and 11 -- may not work in a child care position at the facility.

On 8/26/25. it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 8 and 11 were observed caring for children without a disclosure statement or state police clearance, child abuse clearance, FBI clearance, or NSOR (National Sex Offender Registry) certificate on file. Staff persons 8 and 11 may not return to a childcare position until disclosure and all clearances are complete. Staff person 8 was also observed escorting children to the bathroom area where they could not be supervised by a qualified staff person.

Corrected by Aug 28, 2025

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3270.33(b)/3270.37(c) · At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level. An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

On 8/26/25, it was observed that staff persons 6, 8, and 11 were the only staff present at the facility, upon the arrival of certification staff. Staff 6 is aide qualified and staff 8 and 11 have no qualifications on file. The facility did not have enough qualified individuals onsite and the aide qualified staff was not supervised properly.

Corrected by Oct 28, 2025

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3270.34(a)/3270.34(a)(1) · A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). A director is responsible for administering finances, personnel, maintenance, meal planning and preparation and transportation. DIRECTED PLAN OF CORRECTION: Facility director or management staff will attend Existing Provider Orientation. DIRECTED PLAN OF CORRECTION: For a period of three months, the facility director or management staff will send all new staff files for review as they are complete and ready to care for children. A complete file must include: proof of age/address, disclosure statement, state police clearance, child abuse clearance, FBI clearance, NSOR certificate, health assessment and TB test, education and experience, and 2 reference letters. Staff persons may not start caring for children until their file has been approved by the regional office.

On 8/20/25 and 8/26/25, it was observed that director responsibilities were not fulfilled in relation to personnel. Staff persons 1, 2, 4, 5, 8 and 11were observed working in the file without having required staff file documents on file. Staff persons 1, 2, 4, 5, 8 and 11 did not have complete CPSL documents on file Staff persons 4, 5, 8 and 11 did not have completed health assessments or TB tests on file. Staff persons 5, 8 and 11 did not have 2 written nonfamily references on file. Staff persons 5, 8, and 11 did not have documentation of education or experience on file. Staff persons 2, 5, 8, and 11 were working unsupervised at the facility without documentation of Health and Safety training. Staff persons 1, 2, 5, 8, and 11 were working unsupervised at the facility without documentation of Pediatric First Aid and CPR training.

Corrected by Jan 31, 2026

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

On 8/26/25, it was observed that the exit doorway in the back section of buildings, beside the kitchen area, was obstructed by an adult desk chair. CORRECTED ON SITE.

Corrected by Oct 26, 2025

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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. DIRECTED PLAN OF CORRECTION: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training with technical assistance regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Staff shall participate in follow up Technical Assistance visits and implement suggestions of the Specialist providing the Technical Assistance.

On 8/26/25, it was observed that child 4 was out of staff supervision while he was entering the unoccupied office space. The preschool/school age children were unsupervised on the right side of the classroom while staff persons 6, 8, and 11 were on the front left side of the classroom. The view of the children was obstructed by the standing wall barriers.

Corrected by Oct 29, 2025

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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.

On 8/26/25, it was observed that staff persons 8 and 11 were unable to name the children in their primary care groups. Staff stated that they were new and had not learned the children's names. Staff person 6 was able to name all 16 children present but due to ratio constraints, could not be the primary care provider for all 17 children ages 1-12.

Corrected by Aug 30, 2025

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3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

On 8/26/25, it was observed that child 18 was observed sitting in a high chair eating. Staff stated that child 18 was three years old and was put in the highchair to prohibit them from running around while eating.

Corrected by Aug 29, 2025

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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.

On 8/26/24, it was observed that emergency contact information for children 4, 5, 10, 13, 14, 15, and 16 was not accessible to the staff in the childcare space where the children were present.

Corrected by Aug 26, 2025

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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.

On 8/26/25, it was observed that staff persons 8, 9, and 11 did not have a health assessment or TB test on file.

Corrected by Aug 27, 2025

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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.

On 8/26/25, it was observed that staff persons 8 and 11 were caring for children without documentation of education or experience on file.

Corrected by Aug 30, 2025

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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.

On 8/26/25. it was observed that staff persons 8, 10, and 11 did not have two written, nonfamily references on file.

Corrected by Sep 1, 2025

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3270.191/3270.192(1) · An individual record is required for each facility person. A facility person's record shall include the name, address and telephone number of the facility person.

On 8/26/25, it was observed that staff persons 8 and 11 were working in a childcare capacity and did not have a staff file present. There was no documentation of CPSL (Child Protective Services Law) requirements, Health Assessment and TB test, reference letters, or staff education, experience and training available at the time of the visit.

Corrected by Oct 28, 2025

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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 person #1, 2, 5, 8 and 11must be supervised, when interacting with children, by an (AGS, GS, or Director) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, 2, 5, 8, and 11, staff person #1, 2, 5, 8 and 11 may not work in a child-care position at the facility.

On 8/20/25, it was observed that staff persons 1, 2, and 5 were caring for children unsupervised. On 8/20/25, staff persons 1, 2, 3, and 5 were present in the facility at the time of the arrival of certification staff. Additionally, on 8/27/25, it was observed that staff persons 8 and 11 were caring for children unsupervised. On 8/27/25, staff persons 6, 8 and 11 were present in the facility at the time of the arrival of certification staff. Staff persons 1, 2, 5, 8, and 11 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training and Pediatric First Aid and CPR. Staff persons 3 and 6 do have documentation of Health and Safety training and Pediatric First Aid and CPR on file, but are only Aide qualified and are therefore unable to supervise staff person 1, 2, 5, 8, and 11.

Corrected by Sep 28, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #1, 2, 4, and 5 may not work in a child care position at the facility.

On 8/4/25 and 8/20/25, it was observed that CPSL (Child Protective Services Law), was not followed. Staff person 1 was observed working in the facility on 8/20/25 and did not have a state police clearance on file. Staff person 1 may not return to work until state police clearance is on file. Staff person 1 had previous criminal history that had not been reviewed by the regional office. Staff person 2 was observed working in the facility on 8/4/25 and 8/20/25 and did not have a child abuse clearance and FBI clearance on file. Staff person 2 may not return to work until all clearances are on file. Staff person 4 was observed working on 8/4/25 at the facility and did not have record of state police clearance, child abuse clearance, FBI clearance, or NSOR certificate on file. Staff person 4 may not return to work until all clearances are on file. Staff person 4 was observed working at the facility on 8/4/25 and did not have a signed disclosure statement on file. Staff person 5 was observed working at the facility on 8/20/25 and did not have record of state police clearance, child abuse clearance, FBI clearance, or NSOR certificate on file. Staff person 5 may not return to work until all clearances are on file.

Corrected by Aug 28, 2025

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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.

On 8/20/25, it was observed that staff person 5 did not have record of education or experience on file.

Corrected by Sep 2, 2025

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3270.33(b) · At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

On 8/20/25, it was observed that there was not a staff person present at the facility who was qualified at a director, group supervisor, or assistant group supervisor. Staff persons 1, 2, 3, 5, and 6 were present at the facility. Staff persons 2, 3, and 6 were aide qualified and staff persons 1 and 5 did not have record of any qualifications on file.

Corrected by Sep 2, 2025

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3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

On 8/20/25, it was observed that ratio was not maintained. Staff person 1 stated that they were caring for 6 children. Child 1, who was part of their group was a young toddler. The required ratio should have been 1 staff for 5 children.

Corrected by Aug 26, 2025

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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.

On 8/20/25, it was observed that staff persons 4 and 5 did not have record of a health assessment or TB test on file.

Corrected by Sep 2, 2025

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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.

On 8/20/25, it was observed that staff persons 4, and 5 did not have two written, nonfamily references on file.

Corrected by Sep 21, 2025

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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.

Documentation of current liability insurance was not on file.

Corrected by Jun 17, 2025

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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 does not address continuity of operations. Staff person #2 does not have documentation of completed pre-service training.

Corrected by May 26, 2025

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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 operator did not have documentation of current liability insurance.

Corrected by Jun 6, 2025

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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.

Staff person #2 did not have documentation of emergency plan training at time of initial employment.

Corrected by May 24, 2025

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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 #2 may not work in a childcare position at the facility.

Saff person #2 did not have documentation of a completed state police clearance.

Corrected by May 24, 2025

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3270.34(b)(3) · A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

Staff #1 did not have evidence of 3 years of experience working with children.

Corrected by May 23, 2025

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3270.62(a)/3270.103 · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding. 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.

Facility does not have indoor or outdoor gross motor space for infants and toddlers. The outdoor play space does not have a mulch free play space.

Corrected by May 25, 2025

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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.

Hand washing signs were not posted near the sinks. Corrected on site.

Corrected by May 23, 2025

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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 facility does not have a refrigerator.

Corrected by May 24, 2025

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

A hands- free trashcan was not available for the diapering area.

Corrected by May 26, 2025

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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.

Staff person #2 did not have a health assessment or TB test on file.

Corrected by May 28, 2025

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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 person #1 did not have documentation of experience. Staff person #2 did not have documentation of education or experience.

Corrected by May 24, 2025

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

The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by May 28, 2025

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3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Evacuation routes were not posted within the facility. Corrected on site.

Corrected by May 23, 2025

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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 facility is located in a plaza; the fire detection system was not able to be tested. Documentation of annual testing was not available for this suite.

Corrected by Jun 2, 2025

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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.

Operator did not submit emergency plan to Dauphin County EMA. Corrected during inspection.

Corrected by May 23, 2025

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