3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During an unannounced visit, the operator was requested to show their fire safety logs. The last recorded drill date on the logs was 2/6/25. The operator admitted that she had marked the drills on her calendar, however, did not log them on the fire drill document.

Corrected Corrected by Aug 19, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During an unannounced visit, the operator was requested to show their fire safety logs. The last recorded fire alarm test date on the logs was 2/6/25. The operator admitted that she had marked the testing on her calendar, however, did not log them on the fire drill document. Fire alarm testing has a requirement of being done within every 30-days.

Corrected Corrected by Aug 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training is completed, staff person #1must be supervised when interacting with children by an Assistant Group Supervisor who has completed the required training related to the citation. If there are no staff available to supervise staff person #1may not work in a childcare position at the facility.

During the unannounced renewal inspection, the inspector reviewed the staff files and noted that staff #1did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet) Pediatric First Aid and CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Feb 7, 2025

Category: supervision. Marked corrected in the state record.

3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

On 1/17/23, the inspector reviewed the PWS Compliance Status letter and found that there were several violations that required corrections. The inspector obtained an acceptable plan of correction on 1/18/23. As of 10/18/23 the provider remains unable to provide the inspector with a PWS Compliance Status letter indicating compliance with the Safe Drinking Water Act. Following the renewal inspection on 04/01/24 the inspector reviewed the PWS Compliance Status letter (dated 3/20/24) and found that there were still several violations that required corrections. As of 04/01/24 the provider remains unable to provide the inspector with a PWS Compliance Status letter indicating compliance with the Safe Drinking Water Act. On 10/1/24 the inspector was at the facility unannounced for verifications of corrections and as of this date the provider remains unable to provide the inspector with a PWS Compliance Status letter indicating compliance with the Safe Drinking Water Act.

Corrected Corrected by Apr 18, 2025

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

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

During the unannounced verification visit on 10/1/24 the inspector observed the file for staff #1 and found that this staff was working in direct care without proof of having applied for or obtained a Child Abuse clearance and an FBI as is required.

Corrected Corrected by Oct 1, 2024

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

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). The required staff: child ratios must be maintained at all times.

During the unannounced verification visit on 10/1/24 the inspector observed the toddler room ratio to be one staff (staff #2) to ten younger and older aged toddlers. The inspector also observed that the preschool room to have one staff (staff#3) with 16 preschool aged children.

Corrected Corrected by Oct 1, 2024

Category: ratio. Marked corrected in the state record.

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 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. The legal entity must post ratio requirements in each childcare space at the facility in order to ensure that ratios are always met.

During the unannounced verification visit on 10/1/24 the inspector observed the toddler room ratio to be one staff (staff #2) to ten younger and older aged toddlers. The inspector also observed that the preschool room to have one staff (staff#3) with 16 preschool aged children.

Corrected Corrected by Oct 28, 2024

Category: ratio. Marked corrected in the state record.

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

While at the unannounced renewal inspection on 4/2/24 the inspector observed peeling paint, accessible to children, on the inside of the children's bathroom door in the preschool aged classroom.

Corrected Corrected by Apr 15, 2024

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

While at the unannounced renewal inspection on 4/2/24 the inspector observed that staff #1 (see LIS Code Sheet for hire date) had a Pa Mandated Reporter training on file dated 2/15/19 and this training was not updated until 3/07/24. This training was not updated every 60 months as is required by the CPSL. This needed to be updated on or before 2/15/24. Volunteer #1 was observed in direct childcare and did not have a Pa Mandated Reporter training on file as is required.

Corrected Corrected by Mar 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

On 1/17/23, the inspector reviewed the PWS Compliance Status letter and found that there were several violations that required corrections. The inspector obtained an acceptable plan of correction on 1/18/23. As of 10/18/23 the provider remains unable to provide the inspector with a PWS Compliance Status letter indicating compliance with the Safe Drinking Water Act. Following the renewal inspection on 04/01/24 the inspector reviewed the PWS Compliance Status letter (dated 3/20/24) and found that there were still several violations that required corrections. As of 04/01/24 the provider remains unable to provide the inspector with a PWS Compliance Status letter indicating compliance with the Safe Drinking Water Act.

Corrected Corrected by Oct 18, 2024

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

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

Volunteer #1 was observed in direct childcare and did not have a health assessment and TB screening on file as is required.

Corrected Corrected by Apr 24, 2024

Category: ratio. Marked corrected in the state record.

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

While at the unannounced renewal inspection on 4/2/24 the director indicated that they did not conduct an annual emergency drill for 2023. The inspector found two annual emergency drills on file dated 5/4/22 and most recently one dated 2/2/24.

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

On 1/17/23, the inspector reviewed the PWS Compliance Status letter and found that there were several violations that required corrections. The inspector obtained an acceptable plan of correction on 1/18/23. As of 10/18/23 the provider remains unable to provide the inspector with a PWS Compliance Status letter indicating compliance with the Safe Drinking Water Act.

Corrected Corrected by Feb 19, 2024

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

3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

On 1/17/23, the inspector reviewed the PWS Compliance Status letter and found that there were several violations that required corrections. The inspector obtained an acceptable plan of correction on 1/18/23. As of 4/18/23 the provider remains unable to provide the inspector with a PWS Compliance Status letter indicating compliance with the Safe Drinking Water Act.

Corrected Corrected by Oct 18, 2023

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

While at the renewal inspection unannounced on 1/5/23 the inspector observed the file for child #1 and noted that the emergency contact form was missing the health insurance policy number as is required.

Corrected Corrected by Jan 13, 2023

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

While at the renewal inspection unannounced on 1/5/23 the director was unable to provide the inspector with the required policy for the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Jan 13, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A 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.

While at the renewal inspection unannounced on 1/5/23 the inspector observed the files for staff #1 and noted that the staff began direct care with children (see Code Sheet for date) and did not obtain FBI fingerprints until 10/12/22 and had a request date for the NSOR of 10/3/22. Staff #2 began direct care with children (see Code Sheet for date) and did not obtain a Pa State Police clearance until 10/24/22, and FBI fingerprints until 10/28/22. Staff #3 began direct care with children (see Code Sheet for date) and did not obtain the Pa State Police clearance until 9/28/22, Pa Child Abuse until 10/2/22, and FBI fingerprints until 10/7/22, and the NSOR until 9/22/22.

Corrected Corrected by Jan 13, 2023

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

3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

The inspector reviewed the PWIS letter and found that there were several violations that required corrections.

Corrected Corrected by Apr 18, 2023

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

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

While at the renewal inspection unannounced on 1/5/23 the inspector observed the file for child #1 and noted that there was a health assessment on file but no signature by a physician, physician's assistant or a CRNP.

Corrected Corrected by Jan 16, 2023

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

While at the renewal inspection unannounced on 1/5/23 the inspector observed the file for child #1 and noted that this child did not have proof of having an Influenza vaccine on hand. Child file #2 last had an Influenza vaccine on 4/30/21, which is out of date.

Corrected Corrected by Jan 13, 2023

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

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

While at the renewal inspection unannounced on 1/5/23 the inspector observed the files for staff #1, #2, and #4 and noted that the staff did not obtain health assessments and TB screening prior to coming into contact with children. Staff #3 did not obtain a health assessment and TB screening prior to coming into contact with children.

Corrected Corrected by Jan 13, 2023

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

While at the renewal inspection unannounced on 1/5/23 the inspector observed the files for staff #1, #2, and noted that both staff only had one nonfamily reference on file.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

While at the facility unannounced on 1/14/22 for the renewal inspection the inspector observed the file for staff #1and noted an Pa State Police clearance dated 9/3/15 and not again until 1/3/21, PA Child Abuse clearance dated 9/3/15 and not again until 1/4/21 and a FBI dated 9/10/15 and not again until 1/4/21 and a PA Mandated Reporter training on 12/5/15 and not again until 2/3/21. These clearances and the PA Mandated Reporter training were not updated every 60 months as are required by the CPSL.

Corrected Corrected by Jan 24, 2022

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

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

While at the facility unannounced on 1/14/22 for the renewal inspection the inspector observed the file for staff #2 and noted a first date of direct child care as 11/29/21 and did not obtain a tuberculosis screening until 12/31/21, which was required to be prior to working in direct dare.

Corrected Corrected by Jan 24, 2022

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

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.

While at the facility unannounced on 1/14/22 for the renewal inspection the inspector reviewed the emergency plan and found that it was missing accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions as is required.

Corrected Corrected by Jan 24, 2022

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

While at the facility unannounced on 1/14/22 for the renewal inspection the inspector reviewed the emergency plan and found that it was missing concurrence with both the local municipality and to the county emergency management agency.

Corrected Corrected by Jan 20, 2022

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

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

While at the facility unannounced on 9/30/21 the inspector observed staff #1 alone in the preschool aged classroom with thirteen preschool aged children present. Staff # 1 noted that she was aware that she was out of ratio and noted that she was understaffed as the reason why this occurred.

Corrected Corrected by Oct 1, 2021

Category: ratio. Marked corrected in the state record.

3270.94(a)(1) · Fire drills are conducted at least once every 60 days.

While at the facility unannounced on 9/22/21 the inspector observed the fire drill log last had a fire drill conducted on 2/4/21.

Corrected Corrected by Sep 24, 2021

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

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

While at the facility unannounced on 9/22/21 the inspector observed the fire drill log last had a fire drill conducted on 2/4/21 and had no documentation of manual fire safety detection/system checks every thirty days as is required. On 9/30/21the inspector arrived for the verifications and found hat the facility had no documentation to substantiate that they conducted a manual fire safety detection/system checks every thirty days as is required.

Corrected Corrected by Oct 1, 2021

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