Hmc Academy

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.

It was observed that the facility tested smoke detectors on 5/01/26 and then again on 6/1/26, which is greater than the allowable 30 days between testing. (31 days lapsed)

Corrected by Jun 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 a child playing with a spray mop in the toddler classroom; the mop with the cleaning spray was in the corner of the classroom and accessible to children. *Corrected at the time of the inspection.

Corrected by Feb 25, 2026

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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.

Observed a child playing with the vacuum cleaner in the toddler classroom; the vacuum cleaner was in the corner of the classroom with loose cords and presented a tip hazard. *Corrected at the time of the inspection.

Corrected by Feb 25, 2026

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed a play kitchen set in the Preschool classroom with the sink faucet & knob piece broken off and laying on top of the toy.

Corrected by Feb 27, 2026

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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).

The file for child #1 and #2 did not include a child service report (CSR) with information to the family about the child's growth and development at least once every 6 months since the facility opened at its current location on 09/30/2024. The file for child #1 included a current CSR dated 11/05/2025 with no prior CSR on file. The file for child #2 included a current CSR dated 02/22/2026 with no prior CSR on file. The file for child #3 did not include a child service report (CSR) with information to the family about the child's growth and development at least once every 6 months since initial enrollment (see LIS code sheet); the file for child #3 included a current CSR dated 02/25/2026 and 11/07/2025 with no additional CSR on file.

Corrected by Mar 5, 2026

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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.

Emergency contact information was not present for child #4 while receiving care in the infant classroom. Emergency contact information was not present for child #5, #6 and #7 while receiving care in the toddler classroom. *Corrected at the time of the inspection.

Corrected by Feb 25, 2026

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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.

The file for child #2 included a health report which was not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet). The current health report on file was dated 07/28/2025 with the previous report dated 06/21/2023.

Corrected by Mar 5, 2026

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3270.131(e)(1)/3270.131(e)(2)(i) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The file for child #3 (see LIS code sheet) included a record of the child's immunization status which lacked immunizations in accordance with the schedule recommended by the ACIP. An exemption from immunizations for religious believe or strong person objection equated to a religious believe was not documented by a written, signed and dated statement from the child's parent or guardian.

Corrected by Feb 26, 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 staff in the toddler classroom change a diaper and leaned away from the changing table and used their hand to open the trash can lid in lieu of the foot petal due to the can being in the corner of the room and not accessible from the changing table. Staff then moved the can closer to the changing table and changed another diaper. Staff placed the soiled diaper on a plastic bin next to clean diapers while finishing the diaper change. When directed by the Certification Representative that the diaper should be thrown away immediately, the staff person removed the diaper from the bin and placed it on the changing table above the child's head. The diaper was not discarded immediately by placing the diaper into a plastic-lined, hands-free covered can.

Corrected by Feb 26, 2026

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

The file for staff person #1 and #2 included staff health assessments that were not updated at least once every 24 months. The current health assessment on file for staff person #1 was dated 10/14/2025 and the previous assessment was dated 08/18/2023. The current health assessment on file for staff person #2 was dated 05/28/2025 and the previous assessment was dated 04/11/2023.

Corrected by Mar 5, 2026

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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.

Observed staff in the toddler classroom did not wash their hands after diapering a child; staff was wearing gloves and changed the gloves between each change without washing their hands. Observed staff take a tissue to wipe a child's nose with the same glove on their hand which was used for diapering the child without removing the glove and washing their hands.

Corrected by Feb 26, 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 sippy cup in the Wobbler classroom containing milk which was not discarded after being previously served to the child. The sippy cup was placed in the water cup holder hanging on the back of the door. *Corrected at the time of the inspection.

Corrected by Feb 25, 2026

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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.

A written statement giving the formula and feeding schedule for child #8 was not obtained from the parent.

Corrected by Feb 26, 2026

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

Observed a bottle in the refrigerator located in the infant classroom which was not labeled with the child's name for whom the bottle was intended.

Corrected by Feb 25, 2026

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3270.182(1) · A child's record shall contain initial and subsequent health reports.

The file for child #3 did not include an initial health report (see LIS code sheet); subsequent health reports dated 07/30/2025 & 01/28/2026 were on file.

Corrected by Mar 5, 2026

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

The facility did not have documentation on file of an annual emergency drill conducted at least once every 12 months.

Corrected by Mar 4, 2026

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

The file for staff person #3 did not include an annual minimum of 12 hours of child care training; 9.5 hours of child care training was documented between 12/2024 - 12/2025.

Corrected by Mar 5, 2026

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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.

The operator did not notify the local traffic safety authorities annually of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility; an updated letter was not sent within 12 months of the previous letter which was sent when the facility opened in 09/2024.

Corrected by Mar 2, 2026

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Video footage which shows child #1 standing in front of a bookshelf, staff person #1 approached child #1 swiftly from behind and reached down and pulled child #1 backwards by the shoulder to remove them from the area.

Corrected by Feb 3, 2026

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3270.19(b) · A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

Staff at the facility did not immediately make a report of suspected child abuse to ChildLine following a report from a parent that a staff member mistreated their child. Staff did not make a report until the following day when advised to do so by Certification Representative.

Corrected by Feb 16, 2026

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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.

Observed a ceiling tile in the preschool classroom with one side of the panel, which was not secured within the metal grid causing the tile to bow.

Corrected by Jan 27, 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.

During naptime, observed the cots in the DPS (preschool) classroom were spaced in a manner that did not have the required 2 feet on 3 sides of the equipment while in use.

Corrected by Jan 23, 2026

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3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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.

The file for staff person #1 did not include acceptable verification of child care experience and education to qualify as an Aide prior to service at the facility (see LIS code sheet). The file included a High School transcript which did not include a graduation date and documentation of experience which was not verified by a representative of the experiential entity.

Corrected by Jan 7, 2026

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

The operator did not ensure a review of the emergency plan was completed at least annually; the last documented review of the emergency plan was dated 09/10/2024.

Corrected by Nov 21, 2025

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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.

Observed the door leading outside from the Wobblers classroom was blocked by a bag of trash which was placed outside the door on the right, preventing the door from being able to be fully opened. Continued noncompliance previously cited on 10/23/2025, "Observed the door leading outside from the Wobblers classroom was partially blocked by toys, a stroller, a broom and mop which were placed on the sidewalk outside the door, preventing the right door from being able to be fully opened."

Corrected by Nov 21, 2025

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3270.163(a)(4) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain.

Lunch prepared at the facility did not include at least one grain. Lunch served included: apples, chicken nuggets, sweet potatoes, and milk.

Corrected by Nov 21, 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.

Observed the sinks in the hallway bathroom did not have handwashing signs posted.

Corrected by Oct 23, 2025

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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.

Observed the door leading outside from the Wobblers classroom was partially blocked by toys, a stroller, a broom and mop which were placed on the sidewalk outside the door, preventing the right door from being able to be fully opened.

Corrected by Oct 24, 2025

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed a loose screw on the Simplay 3 play fort and a crack in the plastic Little Tikes large climbing cube (blue panel) on the toddler playground. Observed a crack on one of the small plastic Little Tykes play cubes (orange panel) on the preschool playground

Corrected by Oct 23, 2025

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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.

Observed less than 6" of ground tire mulch around the slides and climbing areas of the embedded outdoor play equipment located on the preschool playground where the mulch has shifted from repeated use.

Corrected by Oct 25, 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.

Observed a cubby approximately 4 feet in height in the older toddler classroom which was not stable, creating a tip hazard.

Corrected by Oct 23, 2025

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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 older toddler, young toddler and discovery preschool classrooms with less than 2 feet on three sides while the equipment was in use.

Corrected by Oct 23, 2025

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3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

A copy of the negative sanction letter and all attachments were not posted in a conspicuous location used by parents.

Corrected by Sep 9, 2025

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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 electrical outlets in the DPS (young preschoolers) room which did not have protective receptacle covers and were accessible to children 5 years of age and younger.

Corrected by Sep 9, 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.

Observed a Glade "Small Spaces" air freshener labeled "Keep out of Reach of Children" on top of a dispenser on the wall which was accessible to toddlers in the older toddler classroom. Observed a bottle of Wite-Out labeled "Keep out of Reach of Children on a table in the older toddler classroom which was accessible to toddlers. Observed a Glade "Small Spaces" air freshener on top of the paper towel holder in the school age classroom which was accessible to children. Observed a Glade air freshener and tub of Petroleum Jelly in a basket on top of the cubbies in the school age room which ere accessible to children.

Corrected by Sep 9, 2025

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Observed cleaning products used to clean the diaper changing station in the infant classroom were placed on the corner of the table where bottles and food are prepared for infants.

Corrected by Sep 9, 2025

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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.

Observed a ceiling tile next to the window in the Wobblers (young toddlers) classroom which was bowed and water stained. Observed a string of Christmas lights on a child size chair located in the preschool classroom which were accessible to the children.

Corrected by Sep 19, 2025

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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.

Observed a box of nonporous gloves on the lower shelf of the changing table located in the children's bathroom which were accessible to older toddlers while using the bathroom.

Corrected by Sep 9, 2025

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3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Observed 2 unopened bottles of drinkable yogurts (which require refrigeration) in a plastic bag on top of the cubbies located in the older toddler classroom.

Corrected by Sep 9, 2025

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3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Observed that diaper changes for 2 of the infants exceeded the 2-hour requirement. One infant's diaper was changed at 9:34 am and the next diaper change was completed at 11:45 am. Another infant was changed at 9:23 am and the next diaper change was not documented. Staff stated it was done between 2 other infants diaper changes that were completed between 11:38 - 11:45 am.

Corrected by Sep 9, 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 #-- must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #--, staff person #-- may not work in a child-care position at the facility.

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first aid and CPR training Staff person #2 had documentation of online National CPR Foundation training dated 01/23/2025 which was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum with a PQAS-certified trainer.

Corrected by Aug 22, 2025

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed 2 torn rest mats in the older toddler classroom which exposed the foam within the mat.

Corrected by Aug 26, 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.

The file for staff person #1 did not include verification of education prior at the time of initial hire (see LIS code sheet). Continued non-compliance previously cited on 06/13/2025.

Corrected by Sep 8, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. 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 #1 did not include the results of the NSOR clearance prior to their first day caring for children (see LIS code sheet). The file included documentation of a request for the NSOR dated 05/12/2025.

Corrected by Jun 13, 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.

The file for staff person #1 did not include verification of child care experience and education prior at the time of initial hire (see LIS code sheet).

Corrected by Jun 19, 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.

The file for staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for staff person #2 did not include a second written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Jun 26, 2025

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

The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days, the most recent test was completed on 06/02/2025 with the previous test completed on 05/01/2025.

Corrected by Jul 1, 2025

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3270.19(a) · An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL.

Staff persons #1, #2, #3, #4 and #5 did not report to Childline that a firearm was found in child #1's diaper bag until Certification Representative informed them to do so.

Corrected by Jun 12, 2025

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children. The operator will develop a drop off procedure which includes a process for checking diaper bags and other bags brought into the facility and a log to document the checks for each classroom. The procedure and logs are to be approved by the Central Region Office of Child Development and Early Learning prior to use. Completed logs will be maintained on file by the facility director and be made available to the Department Representative when requested. This will be done for a period of 3 months from the date this Plan of Correction is accepted by the Central Regional Office of Child Development and Early Learning.

Staff person #1 found a firearm in child #1's diaper bag. The owner, director and/or the assistant director did not immediately call law enforcement to come and assess the situation and take possession of the firearm. The firearm was taken to the office by staff person #4 and #5 and left unsecured until it was returned to the parents shortly after the firearm was discovered.

Corrected by Nov 28, 2025

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3270.79 · Weapons, firearms and ammunition are prohibited in a child care center.

On 06/11/2025 at approximately 9:05 am, staff person #1 found a firearm in child #1's diaper bag.

Corrected by Jun 12, 2025

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3270.113(a)/3270.113(a)(1) · 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. 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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Regional Office of Child Development and Early Learning no later than Monday morning by 9:00 am for the prior week for a period of three months.

Continued Non-Compliance: On 03/06/2025 an unannounced monitoring was conducted at the facility. Upon arrival, after ringing the doorbell and waiting for someone to answer the door, Certification Representative observed 2 children (older toddlers) come to the door. Both children were looking at the Certification Representative through the window of the door and 1 of the children grabbed a hold of the crash bar of the door and was hanging from the bar trying to open the door, while saying "someone is at the door". Certification Representative did not see a staff person with the children. Certification Representative rang the doorbell a second time and 2-3 additional children (older toddlers) also came to the door peering out the door to see who was there. Staff person #7 came and opened the door. Upon asking where the staff person was, she stated that she was at the corner. Later staff person #7 stated she was "right there" pointing to the preschool (4 & 5 year old classroom) door talking to another staff person. Staff person #7 was not physically present with their group to provide proper supervision (see, hear, direct, assess) while talking to the staff person in the doorway. The facility's acceptable plan of correction submitted on 03/24/2025 stated the legal entity will begin using the checklist to count children as soon as the form has been approved by the Regional Office. The legal entity shall do this checklist for a minimum of three months for the date the checklist is approved and will send it to the Regional Office weekly. On 06/02/2025, the operator has not been submitting the supervision and ratio checklists on a weekly basis as required in the directed plan of correction. The most recent checklists were received on 05/20/2025 for the week of May 12 - 16, 2025.

Corrected by Sep 10, 2025

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children. The legal entity must arrange for all facility staff to complete the Better Kid Care 911: Responding to Medical Emergencies Self-Learning Module. The legal entity will confirm compliance by sending a copy of the training certificate to the Central Regional Office of Child Development and Early Learning upon completion of the training.

On 05/13/2025, child #1 fell and hit their head on the corner of a shelf in the classroom causing a gash in their forehead that required stitches. Staff person #1, #2 and #3 did not immediately call 9-1-1 for emergency medical care for the child to be assessed, instead they chose to transport the child to Urgent Care by staff person #1 and #2 in a personal vehicle owned by staff person #1.

Corrected by Jun 4, 2025

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

On 05/13/2025 at approximately 10:25 am, staff person #2 and #3 were in the preschool classroom with a group of 13 preschool age children. Staff person #2 left the preschool classroom to find staff person #1, during this time, staff person #3 was alone in the classroom with 13 preschool age children, while providing first aid for child #1. Staff person #1 left the infant room to assist with an emergency in the preschool classroom. During this time, staff person #4 was alone in the classroom with 6 infants. The staff:child ratio for infants is 1:4. The staff:child ratio for preschoolers is 1:10.

Corrected by May 20, 2025

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

The emergency contact information for child #1 did not include written consent by the parent for emergency medical care. The parent listed the name of Child's Physician in the space intended for the parent's signature.

Corrected by May 22, 2025

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3270.175(a) · A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

On 05/13/2025, child #1 was transported in a backless, belt-positioning booster seat which was not age appropriate for a 3-year-old. The manufacturer's recommended use is for a child 40-100 lbs (18.1- 45.4 kg) and 43-57 in. (110.1-144.8 cm) and at least 4 Years Old.

Corrected by May 14, 2025

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

The manufacturers' instructions for use of safety restraints were not kept in the vehicle for the booster seat used to transport child #1.

Corrected by May 14, 2025

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3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

A first-aid kit was not in the vehicle used to transport child #1 to urgent care.

Corrected by Jun 6, 2025

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3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

A copy of inspection summary issued in March for an unannounced monitoring inspection was not posted in a conspicuous location used by parents.

Corrected by May 14, 2025

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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 #2, an aide, in the toddler classroom caring for a group of 3 toddlers. Staff person #2 was unable to be supervised by staff person #3 who was on the other side of the classroom. Staff person #3 was on the floor actively engaged in playing with a group of 5 toddlers behind a set of shelves and a solid divider / gate and staff person #2 was around the corner helping the children sit at the table.

Corrected by May 14, 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.

Observed a zip lock baggie on the changing table which contained used tissues which were not contained in a closed, plastic-lined receptacle.

Corrected by May 14, 2025

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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.

Observed an electrical cord dangling down near the changing table into a crib located in the infant classroom.

Corrected by May 14, 2025

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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 less than 2 feet of space on three sides of a crib in the infant classroom while the equipment was in use.

Corrected by May 14, 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.

Observed 3 young toddlers corralled inside a set of freestanding baby gates, creating a confined space within the classroom, while staff person #4 changed a diaper.

Corrected by May 14, 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.

Observed staff person #1 change a diaper in the infant classroom. The disposable soiled diaper was placed on top of the changing table and was not immediately discarded into a plastic-lined, hands-free covered can.

Corrected by May 14, 2025

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

Observed in the infant classroom: Staff person #3 placed an infant on the changing table, stepped away from the changing table and stood approximately 3 - 4 feet away (with their back to the table) while leaving the infant unattended on the changing table, creating a fall risk.

Corrected by May 7, 2025

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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 #4, an aide, working alone in the younger/older toddler classroom. Staff person #2 left the classroom to help in the infant classroom after staff person #1 left the building for a break at approximately 1:10 pm. At approximately 1:45 pm, staff person #4 was moved to move to the infant classroom to work with staff person #3 and staff person #2 returned to the younger/older toddler classroom. Staff person #4 was left alone in the classroom for a period of approximately 30 minutes. Continued noncompliance previously cited on 03/06/2025. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 03/06/2025. Provider's plan to maintain compliance submitted on 03/21/2025 stated, "Aides will always be supervised by qualified staff persons. We will implement a staffing plan that guarantees proper supervision at all times, including during transitions and naptime."

Corrected by May 7, 2025

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

Upon arrival at approximately 1:20 pm, observed staff person #3 sitting outside at the picnic tables at the front of the building near the infant classroom. During this time, staff person #2 was alone in the classroom with 6 infants. Staff:child ratios for infants is 1:4. Naptime ratios do not apply to infants.

Corrected by May 7, 2025

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3270.52/3270.55(a) · 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 staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

Observed in the younger / older toddler classroom: During naptime, staff person #4 caring for a group of 4 younger toddlers and 6 older toddlers. 4 younger toddlers and 4 older toddlers were resting quietly or sleeping on their cots and 2 older toddlers were awake and running around and playing in the area where children were still napping. During this time, there was one staff person in the classroom and second staff person was needed to meet ratio requirements. Upon returning to the same classroom, staff person #2 was observed caring for the same group of 4 younger toddlers and 6 older toddlers, during this time, 5 of the older toddlers were awake and crawling, jumping and climbing around in the area where children were still napping. During this time, there was one staff person in the classroom and second staff person was needed to meet ratio requirements. When a child is awake and no longer resting on their mat, naptime ratios no longer apply. The staff:child ratio in a mixed group of young toddlers is 1:5.

Corrected by May 7, 2025

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3270.113(a)/3270.113(a)(1) · 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. 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.

Observed staff person #4 standing near the cubbies in the younger / older toddler classroom. The cubbies are located in an "L" section of the classroom and staff person #4 was unable to properly see, hear, direct, and assess the children in the classroom from their position in the room. A group of 5 older toddlers were napping on the opposite side of the classroom with a barrier created by shelves blocking their line of sight. During this time, 2 older toddlers were off their cots running around and playing. Staff person #2 was previously in the classroom supervising the group of children on that side of the classroom but had left the to assist the infant classroom. Continued noncompliance previously cited on 03/06/2025. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 03/06/2025. Provider's plan to maintain compliance submitted on 03/21/2025 stated, "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. 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."

Corrected by May 7, 2025

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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 compact cribs in the infant classroom with full size crib sheets on the mattresses in lieu of crib sheets intended for a compact crib mattress. The crib sheets, which were too big for the mattress, created access material which creates a potential suffocation hazard. The crib sheets were not replaced with properly fitting sheets. Continued noncompliance previously cited on 01/23/2025. Observed compact cribs in the infant classroom with full size crib sheets on the mattresses in lieu of crib sheets intended for a compact crib mattress. The crib sheets, which were too big for the mattress, created access material which creates a potential suffocation hazard.

Corrected by Mar 18, 2025

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

Observed staff person #1, working in the older toddler classroom as an assistant group supervisor with staff person #7, an aide. The file for staff person #1 does not include 2 years of verified experience to qualify as an assistant group supervisor.

Corrected by Mar 12, 2025

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3270.34(a) · A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). Staff person #9 and #10 will be required to attend the Central Region Existing Provider Orientation in-person training to be conducted on 04/10/2025. Staff person #9 or #10 shall contact the Central Regional Office to schedule the training. Documentation of completed training must be submitted to the Regional Office and be kept in the facility person's file.

The director is failing to ensure that staff files and children's files are complete with all required documentation as indicated in numerous violations cited in the inspection summary, including citations indicating continued non-compliance.

Corrected by Apr 15, 2025

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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 #7, an aide, with a group of 5 older toddlers in the hallway and taking the children outside for a short walk on the property, staff person #7 was also observed as the only staff person in the older toddler classroom during naptime while staff person #1 was in the kitchen. Staff person #7 was not supervised during these times by a staff person qualified at a minimum as an assistant group supervisor.

Corrected by Mar 18, 2025

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3270.113(a)/3270.113(a)(1) · 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. 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. TIERED LIS: 1. Children must be supervised at all times. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Upon arrival, after ringing the doorbell and waiting for someone to answer the door, Certification Representative observed 2 children (older toddlers) come to the door. Both children were looking at the Certification Representative through the window of the door and 1 of the children grabbed a hold of the crash bar of the door and was hanging from the bar trying to open the door, while saying "someone is at the door". Certification Representative did not see a staff person with the children. Certification Representative rang the doorbell a second time and 2-3 additional children (older toddlers) also came to the door peering out the door to see who was there. Staff person #7 came and opened the door. Upon asking where the staff person was, she stated that she was at the corner. Later staff person #7 stated she was "right there" pointing to the preschool (4 & 5 year old classroom) door talking to another staff person. Staff person #7 was not physically present with their group to provide proper supervision (see, hear, direct, assess) while talking to the staff person in the doorway.

Corrected by Jul 3, 2025

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information for child #2, #3 and #5 did not include the work address and telephone number of the enrolling parent. The information was blank on the form. Continued noncompliance previously cited on 01/23/2025. The emergency contact information for child #1 did not include the work address of the enrolling parent. The emergency contact information for child #2, #3 and #5 did not include the work address and telephone number of the enrolling parent.

Corrected by Mar 18, 2025

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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 for child #1 and #2 did not include a complete address for the individuals designated by the parent to whom the child may be released. Continued non-compliance previously cited on 01/23/2025. The emergency contact information for child #1 and #2 did not include a complete address for the individuals designated by the parent to whom the child may be released. The emergency contact information for child #4 did not include the address for the individuals designated by the parent to whom the child may be released.

Corrected by Mar 18, 2025

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

The file for child #2 and #5, did not include an updated health report within 6 months of the previous health report for an infant or young toddler (see LIS code sheet). The most recent health report on file for child #2 was dated 03/15/2024 with no subsequent health report on file. The most recent health report on file for child #5 was dated 05/21/2024 with no subsequent health report on file. An updated health report was not provided by the parent for child #2 and #5. Continued non-compliance previously cited on 01/23/2025 - The file for child #2 and #5, did not include an updated health report within 6 months of the previous health report for an infant or young toddler (see LIS code sheet). The most recent health report on file for child #2 was dated 03/15/2024 with no subsequent health report on file. The most recent health report on file for child #5 was dated 05/21/2024 with no subsequent health report on file.

Corrected by Mar 18, 2025

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3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #5 (see LIS code sheet) included a record of the child's immunization status which lacked a 2nd dose of RV, a 2nd & 3rd dose of DTap, a 2nd dose of HIB, a 2nd & 3rd dose of PCV13, and a 2nd dose Polio immunization. An updated immunization record was not provided by the parent. Continued non-compliance previously cited on 01/23/2025 - The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 3rd dose of DTap and a 3rd dose of PCV13, The file for child #5 (see LIS code sheet) included a record of the child's immunization status which lacked a 2nd dose of RV, a 2nd & 3rd dose of DTap, a 2nd dose of HIB, a 2nd & 3rd dose of PCV13, and a 2nd dose Polio immunization.

Corrected by Mar 18, 2025

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3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for staff person #4 did not include a health assessment prior to initial service in a child care setting (see LIS code sheet); the file included the results of a Tuberculosis screened dated 08/30/2024 which did not include a health assessment. A current health assessment was not on file for staff person #4. The file for staff person #8 did not include an updated health assessment within 24 months of the previous health report; the most recent health report was dated 05/06/2022 with no subsequent health report on file. A current health assessment was not on file for staff person #8. Continued non-compliance previously cited on 01/23/2025 - The file for staff person #1 and #7 did not include a health assessment with the results of a Tuberculosis screening prior to initial service in a child care setting (see LIS code sheet). The file for staff person #2 did not include a health assessment with the results of a Tuberculosis screening prior to initial service in a child care setting (see LIS code sheet); the health report and TB test result were dated 12/23/2024. The file for staff person #4 did not include a health assessment prior to initial service in a child care setting (see LIS code sheet); the file included the results of a Tuberculosis screened dated 08/30/2024 which did not include a health assessment. The file for staff person #8 did not include an updated health assessment within 24 months of the previous health report; the most recent health report was dated 05/06/2022 with no subsequent health report on file.

Corrected by Mar 14, 2025

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3270.163(a)(1) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Lunch served in the preschool (4- & 5-year-old classroom) did not include at least one dairy product. The children were served Pasta & meatballs with tomato sauce, fresh vegetables, pineapple, wheat bread and water.

Corrected by Mar 12, 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.

Written notification of safe routes (which includes safe pedestrian crossways, pick-up and drop-off points and bike routes) was not posted by the operator in a conspicuous location in the child care facility. Continued non-compliance previously cited on 01/23/2025 - Written notification of safe routes was not posted by the operator in a conspicuous location in the child care facility.

Corrected by Mar 18, 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.

The file for staff person #1 did not include verification of child care experience prior to service at the facility as an assistant group supervisor (see LIS code sheet). The file has not been updated to include 2 years of verified child care experience. Staff person #1 was observed working in the older toddler classroom with staff person #7, an aide. The file for staff person #4 did not include verification of child care experience prior to service at the facility. The file has not been updated to include 2 years of verified child care experience. Continued non-compliance previously cited on 01/23/2025 - The file for staff person #1 and #4 did not include verification of child care experience prior to service at the facility as an assistant group supervisor (see LIS code sheet). Staff person #1 was observed working alone in the preschool (4- & 5-year-old) classroom during naptime. Staff person #4 was observed to be working alone in the Wobblers (young toddler) classroom during naptime. Staff person #1 and #4 were observed working together in the Wobblers (young toddler) classroom throughout the day. The file for staff person #2 did not include verification of child care experience and education prior to service at the facility as an assistant group supervisor (see LIS code sheet). Staff person #2 was observed working alone in the preschool (4- & 5-year-old) classroom.

Corrected by Mar 18, 2025

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3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #7 did not include verification of education to qualify as an assistant group supervisor. Staff person #7 was observed working alone with a group of older toddlers. The file has not been updated to include verification of education. Continued non-compliance previously cited on 01/23/2025 - The file for staff person #3 did not include verification of 2 years of experience to qualify as an assistant group supervisor. The file contained a copy of a high school diploma with no hours of experience documented and maintained in the file. Staff person #3 was observed working alone in the Preschool (3-year-ols) classroom. The file for staff person #5 did not include verification of 1 year of experience to qualify as an assistant group supervisor. The file contained a copy of a high school diploma and a CDA with no hours of experience documented and maintained in the file. Staff person #5 was observed working alone in the Older 2-year-old room. The file for staff person #7 did not include verification of education and experience to qualify as an assistant group supervisor. Staff person #7 was observed working alone in the Younger 2-year-old classroom.

Corrected by Mar 17, 2025

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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.

The file for staff person #4 included a foreign degree which was not evaluated for equivalency. The file has not been updated with the evaluation for equivalency documentation. The file for staff person #7 included and incomplete final testing result for a GED; without the final diploma or transcript. The file has not been updated with verification of a minimum of an 8th grade education to qualify as an Aide. Continued noncompliance previously cited on 01/23/2025 - The file for staff person #4 included a foreign degree which was not evaluated for equivalency. The file for staff person #7 included an incomplete final testing result for a GED; without the final diploma or transcript.

Corrected by Mar 18, 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.

The file for staff person #4 did not include any written nonfamily references. The file was not updated to include 2 written references. Continued noncompliance previously cited on 01/23/2025 - The file for staff person #1, #2 #3 and #4 did not include any written, nonfamily references. The file for staff person #5 only included one written, nonfamily reference.

Corrected by Mar 14, 2025

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

The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days; a test was completed on 03/04/2025 with the previous test conducted during the renewal inspection on 01/23/2025 which was not documented. Continued non-compliance previously cited on 01/23/2025. The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days. Tests that exceeded 30 days were documented on 10/25/2024 - 12/02/024 - 01/04/2025.

Corrected by Mar 12, 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 and #4 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, #2 and #4, staff person #1, #2 and #4 may not work in a child-care position at the facility.

Staff person #1, #2 and #4 were observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Mandated Reporter Training and· Get Started with Center-Based Care-Revised 2022. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training and Pediatric First Aid and CPR. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and CPR.

Corrected by Jan 23, 2025

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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 compact cribs in the infant classroom with full size crib sheets on the mattresses in lieu of crib sheets intended for a compact crib mattress. The crib sheets, which were too big for the mattress, created access material which creates a potential suffocation hazard.

Corrected by Jan 25, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2, #6 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.

The file for staff person #1 did not include complete provisional hire documentation including the results of a Child Abuse Clearance prior to their first day caring for children (see LIS code sheet). The file for staff person #1 who resided outside of PA in the previous 5 years, did not include documentation of a request for out of state clearances. The file for staff person #1 did not have the results of the child abuse clearance, NSOR clearance or NY state clearances within 45 days of hire. Staff person #1 was observed to be working alone in the preschool classroom during naptime without a. permanent employee in the vicinity. The file for staff person #2 did not include complete provisional hire documentation including the results of either the criminal history record (which was requested on 12/11/2024) or FBI clearance (a copy of the request was not on file) prior to their first day caring for children (see LIS code sheet). The file included the results of a Child Abuse Clearance dated 12/11/2024. Staff person #2 was observed to being working alone in the preschool classroom throughout the day without a permanent employee in the vicinity. The file for staff person #3 included an NSOR clearance which was not on file within 45 days of hire (see LIS code sheet); the NSOR clearance was dated 11/26/2024. The file for staff person #6 did not include an NSOR clearance.

Corrected by Feb 7, 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.

Observed an unlocked cabinet on the changing table located in the younger 2-year-old classroom which contained a can of Lysol spray and was accessible to the older toddlers in care.

Corrected by Jan 23, 2025

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3270.70(a) · The indoor temperature shall be at least 65° F.

The indoor temperature in the Preschool (4- & 5-year-olds) was between 55° - 59° F during naptime. The indoor temperature in the young toddler classroom was between 62° - 64° F during naptime.

Corrected by Jan 23, 2025

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

The first aid kit in the older 2-year-old classroom did not include gauze pads. The first aid kit in the Preschool (3-year-olds) classroom did not include soap. The first aid kit in the Preschool (4- & 5-year-olds) classroom did not include nonporous gloves.

Corrected by Jan 25, 2025

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

During naptime, observed the lights in the older two-year-old classroom were turned off. The classroom is an interior room, and the small sting of colored Christmas lights that were on did not create sufficient artificial or light to see all of the children who were napping. During naptime, observed the lights in the younger two-year-old classroom were turned off. The classroom is an interior room and did not have enough artificial or natural light to see all of the children who were napping.

Corrected by Jan 23, 2025

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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.

Observed an unlocked cabinet on the changing table located in the younger 2-year-old classroom which contained nonporous gloves and were accessible to the older toddlers in care.

Corrected by Jan 27, 2025

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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.

The rest mats located in the Wobblers (young toddler) classroom had less than 2 feet of space on three sides while the children were napping.

Corrected by Jan 27, 2025

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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 the older 2-year-old classroom; a lesson plan was posted in lieu of a daily schedule.

Corrected by Jan 27, 2025

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

The agreement for child #4 did not specify the date the fee is to be paid.

Corrected by Jan 24, 2025

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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).

The fee agreement for child #4 did not include the services to be provided to the family and the child.

Corrected by Jan 24, 2025

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3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact information for child #1 did not include the name, address and telephone number of the child's physician or source of medical care. The emergency contact information for child #5 did not include the address and telephone number of the child's physician or source of medical care.

Corrected by Jan 24, 2025

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information for child #1 did not include the work address of the enrolling parent. The emergency contact information for child #2, #3 and #5 did not include the work address and telephone number of the enrolling parent.

Corrected by Jan 24, 2025

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

The emergency contact information for child #1 did not include written consent signed by a parent for emergency medical care.

Corrected by Jan 24, 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.

The emergency contact information for child #1 and #2 did not include health insurance coverage and policy number; the information was left blank on the form.

Corrected by Jan 24, 2025

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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 for child #1 and #2 did not include a complete address for the individuals designated by the parent to whom the child may be released. The emergency contact information for child #4 did not include the address for the individuals designated by the parent to whom the child may be released.

Corrected by Jan 27, 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.

Emergency contact information was not present in the Younger 2-year-old classroom for child #3 while receiving care. Emergency contact information was not present in the Wobblers (young toddler) classroom for child #2, #6 and #7 while receiving care.

Corrected by Jan 28, 2025

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

The file for child #2 and #5, did not include an updated health report within 6 months of the previous health report for an infant or young toddler (see LIS code sheet). The most recent health report on file for child #2 was dated 03/15/2024 with no subsequent health report on file. The most recent health report on file for child #5 was dated 05/21/2024 with no subsequent health report on file.

Corrected by Feb 28, 2025

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3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 3rd dose of DTap and a 3rd dose of PCV13, The file for child #5 (see LIS code sheet) included a record of the child's immunization status which lacked a 2nd dose of RV, a 2nd & 3rd dose of DTap, a 2nd dose of HIB, a 2nd & 3rd dose of PCV13, and a 2nd dose Polio immunization.

Corrected by Feb 28, 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.

Observed staff person #1 place a soiled diaper into a plastic grocery bag after finishing a diaper change in lieu of immediately placing the diaper into a plastic-lines, hands-free covered can. Staff person #4 then instructed staff person #1 to place the diaper into a trash bag and take it outside through the side door of the classroom where the trash bag was placed on top of a storage box. Observed staff person #4 take a soiled diaper outside through the side door of the classroom after finishing a diaper change and place it into the trash bag that was on top of the storage box. The diaper was not placed immediately into a plastic-lined, hands-free covered can.

Corrected by Jan 24, 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.

The file for staff person #1 and #7 did not include a health assessment with the results of a Tuberculosis screening prior to initial service in a child care setting (see LIS code sheet). The file for staff person #2 did not include a health assessment with the results of a Tuberculosis screening prior to initial service in a child care setting (see LIS code sheet); the health report and TB test result were dated 12/23/2024. The file for staff person #4 did not include a health assessment prior to initial service in a child care setting (see LIS code sheet); the file included the results of a Tuberculosis screened dated 08/30/2024 which did not include a health assessment. The file for staff person #8 did not include an updated health assessment within 24 months of the previous health report; the most recent health report was dated 05/06/2022 with no subsequent health report on file.

Corrected by Feb 7, 2025

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3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Observed children's lunches brought from home which contained potentially hazardous foods were not being refrigerated. The lunches were kept on tables and racks in the kitchen until lunch is served.

Corrected by Mar 6, 2025

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

Observed bottles in the refrigerator located in the infant classroom which were not labeled with the name of the child to whom it belonged.

Corrected by Jan 24, 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.

Written notification of safe routes was not posted by the operator in a conspicuous location in the child care facility.

Corrected by Jan 23, 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.

The file for staff person #1 and #4 did not include verification of child care experience prior to service at the facility as an assistant group supervisor (see LIS code sheet). Staff person #1 was observed working alone in the preschool (4- & 5-year-old) classroom during naptime. Staff person #4 was observed to be working alone in the Wobblers (young toddler) classroom during naptime. Staff person #1 and #4 were observed working together in the Wobblers (young toddler) classroom throughout the day. The file for staff person #2 did not include verification of child care experience and education prior to service at the facility as an assistant group supervisor (see LIS code sheet). Staff person #2 was observed working alone in the preschool (4- & 5-year-old) classroom.

Corrected by Feb 7, 2025

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3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #3 did not include verification of 2 years of experience to qualify as an assistant group supervisor. The file contained a copy of a high school diploma with no hours of experience documented and maintained in the file. Staff person #3 was observed working alone in the Preschool (3-year-ols) classroom. The file for staff person #5 did not include verification of 1 year of experience to qualify as an assistant group supervisor. The file contained a copy of a high school diploma and a CDA with no hours of experience documented and maintained in the file. Staff person #5 was observed working alone in the Older 2-year-old room. The file for staff person #7 did not include verification of education and experience to qualify as an assistant group supervisor. Staff person #7 was observed working alone in the Younger 2-year-old classroom.

Corrected by Feb 7, 2025

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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.

The file for staff person #4 included a foreign degree which was not evaluated for equivalency. The file for staff person #7 included and incomplete final testing result for a GED; without the final diploma or transcript.

Corrected by Feb 28, 2025

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3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff person #7 did not include documentation of initial and subsequent health assessments including the results of initial tuberculin skin tests. A current health assessment was not on file.

Corrected by Feb 7, 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.

The file for staff person #1, #2 #3 and #4 did not include any written, nonfamily references. The file for staff person #5 only included one written, nonfamily reference.

Corrected by Feb 7, 2025

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

The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days. Tests that exceeded 30 days were documented on 10/25/2024 - 12/02/024 - 01/04/2025.

Corrected by Jan 24, 2025

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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.

The letter to the parent explaining the emergency plan did not include information regarding accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions or that emergency drills will be conducted annually.

Corrected by Sep 22, 2024

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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 electrical outlets in the bathroom which lacked protective receptacle covers.

Corrected by Sep 20, 2024

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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 automatic hand soap and sanitizer dispensers containing hand sanitizer in the young toddler, older toddler, preschool, discovery preschool and school age which were installed in an area accessible to children.

Corrected by Sep 23, 2024

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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.

Observed bolts on the gate and the corners of the fence located in the preschool and toddler playgrounds which were facing into the playground creating a visible hazard.

Corrected by Sep 21, 2024

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed children's cubbies approximately 4 feet in height in the young toddler, older toddler, preschool, discovery preschool and school age classrooms which were not stable, creating a tip hazard.

Corrected by Sep 23, 2024

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

The file for staff person #1 included a health assessment which was not updated within 24 months of the previous health assessment. The most recent health assessment on file was completed on 05/05/2022 with no subsequent health assessment on file.

Corrected by Sep 23, 2024

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