3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. Staff person #2 may not work in a childcare position with direct contact and routine interaction with children until completed National Sex Offender Registry (NSOR) clearance is on file.

During an unannounced inspection on 3/24/2026. Staff #2 was observed to be working unsupervised and directly with children. Staff #2 did not have the completed National Sex Offender Registry (NSOR) clearance on file. See LIS code sheet.

Corrected Corrected by Mar 24, 2026

Category: supervision. Marked corrected in the state record.

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All staff must complete mandated reporter training at least once every 60 months.

Staff #3 did not complete mandated reporter training within a 60-month time period. This is evidenced by the previously documented mandated reporter training on file being dated 1/28/2021 and the updated mandated reporter training on file being dated 3/11/2026.

Corrected Corrected by Mar 11, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.34(b)(5)/3280.52(a)(1) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A primary staff person shall be present in a facility when six or fewer children are in care, unless the staff-child ratio specified in §3280.52(b) or (c) requires a second or third staff person.

There was an incident at the facility on 3/19/2026 where a child was injured. It was verified that Staff #1 was the only staff person present at the facility when the incident occurred on 3/19/2026. During the file review on 3/24/2026, Staff #1 had a high school diploma on file, but did not have verification of 2 years of experience working with children on file to verify that they were qualified as a primary staff person. See LIS code sheet.

Corrected Corrected by Mar 20, 2026

Category: ratio. Marked corrected in the state record.

3280.52(c) · 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 at §3280.52(b). TIERED LIS: 1. The required staff-to-child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The operator must print and post the required staff-to-child ratios in each measured childcare space. The operator shall provide a date for when this will be completed.

Upon arrival to an unannounced inspection on 3/24/2026, Staff #2 was observed working alone in the Main Room with a mixed-age group of 1 infant, 1 young toddler and 3 preschool children. Two staff persons are required to maintain the required staff-to child ratios for this mixed-age group of children. After a few minutes, Staff #4 returned to the Main Room and had one child with them.

Corrected Corrected by May 6, 2026

Category: ratio. Marked corrected in the state record.

3280.92(a)/3280.92(c) · Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions. The manufacturer's instructions for use shall be kept in an accessible area in the facility.

During an unannounced inspection on 3/24/2026, it was observed that the facility was using a small portable space heater in both childcare spaces. The manufacturer's instructions for use for these two small portable space heaters were not in an accessible area in the facility or on file anywhere in the facility on 3/24/2026.

Corrected Corrected by Apr 11, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.133(3)/3280.133(6) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. A parent shall provide written consent for administration of medication or a special diet.

On 3/19/2026, Child #1 burned their hands on a baseboard heater in the facility. Staff #1 applied Trombosil cream on the child's hands. During an unannounced inspection on 3/24/2026, it was discovered that the Trombosil cream was not labeled with the child's name and the parent did not provide written consent for administration of any medication.

Corrected Corrected by Mar 24, 2026

Category: ratio. Marked corrected in the state record.

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

During an unannounced inspection on 3/24/2026, the record/emergency contact information on file for Child #1 did not contain signed parent consent for emergency medical care for the child and also did not contain signed parental consent for administration of minor first-aid procedures by facility staff. See LIS code sheet.

Corrected Corrected by Mar 24, 2026

Category: ratio. Marked corrected in the state record.

3280.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

On 3/24/2026, Staff #1 did not have any written, nonfamily references on file. Staff #1 was verified to be working at the facility on 3/19/2026. See LIS code sheet.

Corrected Corrected by Mar 20, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During the Renewal Inspection on 7/2/2025, the playpens and rest mats used by the children in the facility for rest equipment were not labeled were not labeled for the use of a specific child to be used only by the specified child.

Corrected Corrected by Jul 2, 2025

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

3280.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

On 7/2/2025, the emergency contact information on file for Child #1 did not include health insurance coverage and policy number for the child. See LIS code sheet.

Corrected Corrected by Jul 2, 2025

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

3280.131(e)/3280.131(e)(3) · 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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #1 must be dismissed from care by close of business on 7/2/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

On 7/2/2025, Child #1, age 8 months did not have any written verification on file to indicate the child was administered immunizations in accordance with the recommendations of the ACIP. See LIS code sheet.

Corrected Corrected by Jul 3, 2025

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

3280.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

On 7/2/2025, Child #1, an infant did not have a written statement giving the formula and feeding schedule from the parent on file.

Corrected Corrected by Jul 2, 2025

Category: nutrition. Marked corrected in the state record.

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The emergency contact information/record on file for Child #1 did not contain signed parental consent for emergency medical care for the child and also did not include signed parental consent for administration of minor first-aid procedures by facility staff. See LIS code sheet.

Corrected Corrected by Jul 2, 2025

Category: ratio. Marked corrected in the state record.

3280.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

On 7/2/2025, Child #1 did not have an initial health report on file. See LIS code sheet.

Corrected Corrected by Jul 7, 2025

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

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

During the opening inspection on 4/1/2025, several cleaning materials that were labeled keep out of children were seen in unlocked cabinets below the sinks in the main childcare room and in the bathroom.

Corrected Corrected by Apr 1, 2025

Category: ratio. Marked corrected in the state record.

3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During the opening inspection on 4/1/2025, the hot water temperature for the sinks in the bathroom and main childcare room measured 130° F.

Corrected Corrected by Apr 1, 2025

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

3280.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During the opening inspection on 4/1/2025, the refrigerator available for the facility did not have a thermometer in the refrigerator.

Corrected Corrected by Apr 1, 2025

Category: nutrition. Marked corrected in the state record.