3270.124(f) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

At the time of the inspection child #1 did not have an updated emergency contact from in her classroom. Emergency contact form was dated 11/6/2024. Child #2 did not have a 6-month update of their emergency contact form on file

Corrected Corrected by May 28, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection facility persons #2 and #3 did not have verified experience on file.

Corrected Corrected by May 28, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection facility did not have an annual emergency drill conducted or documented on file.

Corrected Corrected by May 26, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection facility did not have proof of purchase of interconnected system or Attestation form on file.

Corrected Corrected by May 26, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection, the facility did not have a written policy to address the following: 1. Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma 2. Strategies for coping with a crying, fussing, or distraught child 3. The prevention and identification of child maltreatment Also, at the time of inspection facility's emergency plan did not address continuity of operations.

Corrected Corrected by May 27, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

At the time of inspection facility emergency plan did not have their method to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected Corrected by May 27, 2025

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

3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

At the time of inspection facility's emergency plan did not provide a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by May 27, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 01 may not work alone in a childcare position at the facility.

At the time of inspection facility person #1 had an expired NSOR clearance (dated 11/13/19), facility person #2 had an expired NSOR clearance (dated 3/11/20) on file.

Corrected Corrected by May 27, 2025

Category: background checks. 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.

At the time of inspection facility did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by May 28, 2025

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

3270.35(b)(4)/3270.192(2)(ii) · A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of inspection facility person #2 did not have verifiable education (college degree not evaluated or translated) on file.

Corrected Corrected by Jun 13, 2025

Category: supervision. Marked corrected in the state record.

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.

At the time of inspection, the Busy Bee's classroom did not have soap or gloves in their first aid kit.

Corrected Corrected by May 26, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 04 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #04 may not work in a child care position at the facility.

At the time of inspection facility person #4 did not have Child Abuse Clearance on file.

Corrected Corrected by Apr 23, 2024

Category: supervision. Marked corrected in the state record.

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.

At the time of inspection facility person did not conduct fire drills every 60 days (missing in the month of November) and 23 devices were not inspected in the annual fire detection report.

Corrected Corrected by Apr 23, 2024

Category: recordkeeping. Marked corrected in the state record.

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

At the time of investigation facility was not using nor had posted daily schedules.

Corrected Corrected by Mar 8, 2024

Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

At the time of investigation staff #1 was confirmed using abusive towards children.

Corrected Corrected by Mar 8, 2024

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #04 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #04 may not work in a child care position at the facility.

At the time of inspection facility person #4 did not have Child Abuse Clearance on file.

Corrected Corrected by Mar 29, 2024

Category: supervision. Marked corrected in the state record.

3270.61(f)/3270.62(d) · Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered. Outdoor or indoor play space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

At the time of inspection facility was using licensed multipurpose room and outdoor play space for additional activities outside of childcare purpose.

Corrected Corrected by Mar 29, 2024

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the annual inspection facility person #2 did not have Mantoux testing nor reading on file.

Corrected Corrected by Mar 29, 2024

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

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.

At the time of inspection facility person did not conduct fire drills every 60 days (missing in the month of November) and 23 devices were not inspected in the annual fire detection report.

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During a compliant inspection conducted on 4/20/23 classroom# 1 had a total of 9 children. Staff person#1 was asked for the names of the children responsible for. Staff person# 1 did not identify children specifically assigned to child care group.

Corrected Corrected by May 5, 2023

Category: supervision. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

While conducting a renewal inspection on 4/10/23 it was observed staff person # 2 file did not include completion of emergency plan training.

Corrected Corrected by Apr 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

While conducting a renewal inspection on 4/10/23 it was observed classroom# 1 did not have bleach spray bottle locked away or inaccessible to children.

Corrected Corrected by Apr 20, 2023

Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

While conducting a renewal inspection on 4/10/23 it was observed staff person# 1 did not wash 2 children's hands after diapering.

Corrected Corrected by Apr 20, 2023

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

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

While conducting a renewal inspection on 4/10/23 it was observed child#1 bottle was not labeled.

Corrected Corrected by Apr 20, 2023

Marked corrected in the state record.

3270.192(1) · A facility person's record shall include the name, address and telephone number of the facility person.

While conducting a renewal inspection on 4/10/23 it was observed staff person#1 file did not included expired identification nor was there verification of address.

Corrected Corrected by Apr 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

While conducting a renewal inspection on 4/10/23 it was observed that staff person#2 file did not include verification of child care experience, education and training prior to service at the facility.

Corrected Corrected by Apr 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

While conducting a renewal inspection on 4/10/23 it was observed that staff person#2 file did not include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests.

Corrected Corrected by Apr 20, 2023

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

3270.15(b) · The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter.

While conducting a renewal inspection on 4/10/23 it was observed that facility did not provide a certificate of occupancy at time of inspection.

Corrected Corrected by Apr 20, 2023

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 conducting a renewal inspection on 4/10/23 it was observed that the emergency plan did not include plans to provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Apr 20, 2023

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

3270.31(f)(1) · Staff persons shall complete professional development in the prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements within 90 days of hire.

While conducting a renewal inspection on 4/10/23 it was observed staff persons #3 file did not include verification health and safety training completed. Staff person#4 file did not include required 1hr health and safety training.

Corrected Corrected by Apr 20, 2023

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

At time of inspection, child #3 did not have a signed agreement form documented in their record.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

At time of inspection, updated health assessment were not documented in the files of child #1-3 as required.

Corrected Corrected by Jul 15, 2022

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

3270.104(a)/3270.113(e) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.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.

During the unannounced inspection on 2/23/22 and 4/14/22 interviews with staff person #1 and #2 revealed that child #1 was placed into low level highchair before nap time to "keep the child from waking the other children". The child was able to tip the high chair over onto it's side.

Corrected Corrected by Feb 17, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During a renewal inspection on 07/26/2021, the file for staff person #1 did not contain current first aid and pediatric cardiopulmonary resuscitation.

Corrected Corrected by Aug 23, 2021

Category: ratio. Marked corrected in the state record.

3270.102(g) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

During a renewal inspection on 07/26/2021, the Certification Representative observed a recalled Bumbo seat in the infant room.

Corrected Corrected by Jul 27, 2021

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

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During a renewal inspection on 07/26/2021, the file for child #1 did not contain an updated emergency contact form or financial agreement.

Corrected Corrected by Jul 27, 2021

Category: recordkeeping. Marked corrected in the state record.

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

During a renewal inspection on 07/26/2021, the file for child #3 did not contain an updated health report. The health report on file is dated 07/11/2019.

Corrected Corrected by Jul 27, 2021

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

3270.131(e)/3270.131(e)(2)(i) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of 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.

During a renewal inspection on 07/26/2021, the files for child #1 and child #2 did not contain records of a current influenza vaccination or an exemption letter stating the child's parent did not allow the vaccination.

Corrected Corrected by Jul 27, 2021

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During a renewal inspection on 07/26/2021, the certification representative observed the children in the Tiny Turtles room move from the floor to the table for lunch without washing their hands.

Corrected Corrected by Aug 6, 2021

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

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

During a renewal inspection on 07/26/2021, the certification representative observed the Tiny Turtles teacher move from the floor to the table to serve lunch without washing her hands.

Corrected Corrected by Jul 26, 2021

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.

During a renewal inspection on 07/26/2021, the emergency plan did not include accommodations for infants and toddlers.

Corrected Corrected by Jul 28, 2021

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

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

During a renewal inspection on 07/26/2021, the emergency plan did not include evacuation routes to the location away from the facility premises.

Corrected Corrected by Jul 28, 2021

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

During a renewal inspection on 07/26/2021, the local authorities were not notified of the facilities use of pedestrian and vehicular routes within the past year. The last letter to the local authorities on file is dated 01/17/2019.

Corrected Corrected by Aug 5, 2021

Category: recordkeeping. Marked corrected in the state record.