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.

In the older toddler room, the cabinet under the changing table was unlocked and contained multiple diaper creams including Desitin that were labeled "Keep out of reach of children" and were accessible to children.

Corrected Corrected by Oct 28, 2025

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

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.

In the boys' bathroom, there was a small diapering can that contained a pull-up/diaper that had a foot pedal that when pressed was not opening the lid resulting in the diapering can not functioning as a hands-free can.

Corrected Corrected by Oct 28, 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). 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 #1 may not work in a child care position at the facility.

The file for staff person #1 had a child abuse clearance dated 5-13-19 and lacked a current clearance updated within the last 60 months. The file for staff person #1 lacked the out of state Sex Offender and Child Abuse & Neglect registry checks and requires current out of state Sex Offender and Child Abuse & Neglect registry checks.

Corrected Corrected by May 19, 2025

Category: background checks. 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.

In the 3-4 year old room, there was one area of peeling paint on the wall near the changing table.

Corrected Corrected by May 27, 2025

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

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.

In the girls' bathroom in the hallway across from the infant room, the middle sink lacked a handwashing sign.

Corrected Corrected by May 19, 2025

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

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 file for child #1 had an emergency contact form that lacked the name, address and telephone number of the child's physician.

Corrected Corrected by May 19, 2025

Category: health medication. 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.

The file for child #1 had an emergency contact form that lacked the name of the health insurance and the policy number.

Corrected Corrected by May 19, 2025

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

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.

In the 3-4 year old room, there were soiled diapers/pull-ups observed that were first placed in a plastic bag inside the plastic-lined hands-free covered can and were not immediately thrown away in the hands-free covered can. Staff stated that soiled diapers/pull-ups are placed in a plastic bag first, and then thrown away in the hands-free diapering can.

Corrected Corrected by May 19, 2025

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

3270.131(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.

The file for child #1 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Corrected Corrected by May 19, 2025

Category: health medication. 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.

Documentation of a current emergency drill conducted within the last year was not on file at the facility.

Corrected Corrected by Jun 3, 2024

Category: recordkeeping. Marked corrected in the state record.

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 operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, and children with chronic medical conditions.

Corrected Corrected by May 30, 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).

Staff person #1 had mandated reporter trainings dated 11-11-18 and 12-28-23 that were over 60 months between trainings.

Corrected Corrected by May 30, 2024

Category: recordkeeping. 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. Staff Person #2 may not work in a child care position at the facility.

The file for staff person #2 had an invalid state police clearance and requires a current state police clearance. The file for staff person #1 had state police, child abuse, and FBI clearances that exceeded 60 months between clearances.

Corrected Corrected by May 30, 2024

Category: background checks. 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.

At approximately 10:04 a.m. on the outdoor play space with a total of 10 children, staff person #3 named 4 older toddlers in their group, and staff person #4 named 6 young toddlers in their group, resulting in staff person #4 being out of ratio.

Corrected Corrected by May 30, 2024

Category: ratio. Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

In the infant room, there were 5 infants observed in care with pack 'n plays that were not labeled with each child's name.

Corrected Corrected by May 30, 2024

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

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

In the lunchroom, there was an EpiPen for child #1 that lacked the original container with the prescription identifying that the medication was prescribed for that child.

Corrected Corrected by May 30, 2024

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

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 #2 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility.

Corrected Corrected by May 30, 2024

Category: ratio. 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.

The file for staff person #2 had a tuberculosis screening by the Mantoux method that was dated after initial employment at the facility.

Corrected Corrected by May 30, 2024

Category: health medication. 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.

On 6-6-24, it was observed that the gym lacked a fire detection device as required to be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The gym is located in a separate building from the building with the child care rooms, and the fire detection devices in the child care building are not able to be heard from the gym. The gym is used as an indoor play space by the facility.

Corrected Corrected by Jul 1, 2024

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.

The emergency plan lacked requirements for continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

Corrected Corrected by May 16, 2023

Category: ratio. 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.

Staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, and #17, with health and safety training completed prior to 10-4-22, lacked the Pennsylvania Health and Safety Update 2022 Training required by 12-30-22 and require current training.

Corrected Corrected by May 16, 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. Staff Person #17 may not work at the facility.

The file for staff person #17 lacked an FBI clearance at their start date and requires a current FBI clearance. (See LIS CODE SHEET) The file for staff person #13 had a disclosure statement that lacked the signature of a witness. (See LIS CODE SHEET) The file for staff person #10, hired prior to 9-30-19, had out of state Sex Offender and Child Abuse & Neglect registry checks that were not completed by 7-1-20 as required for a staff person that resided outside of Pennsylvania within the previous 5 years.

Corrected Corrected by May 18, 2023

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

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

Staff person #9 had mandated reporter trainings dated 3-28-18 and 3-29-23 that were over 60 months between trainings.

Corrected Corrected by May 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

In the morning in the 3-5 year old room with a measured capacity of 18 children, there were 20 children observed in the room, resulting in the room exceeding capacity by two.

Corrected Corrected by May 16, 2023

Category: ratio. 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.

The first-aid kit in the 3-5 year old room lacked disposable, nonporous gloves.

Corrected Corrected by May 16, 2023

Marked corrected in the state record.

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.

In the gym, there were two basketball hoops that had padding on the front of the base of the hoop that had holes in the padding in multiple areas exposing the foam stuffing inside and were accessible to children.

Corrected Corrected by May 16, 2023

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

In the gym, there were two bathrooms with multiple toilets and sinks that each had a trash can that lacked a lid.

Corrected Corrected by May 16, 2023

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

In the infant room in the afternoon with a total of 8 children, staff person #12 and staff person #15 each had 4 infants in their group. Staff person #15 was feeding 2 children buckled in seats while sitting on the floor on one side of the room and staff person #15 was on the same side of the room, and both staff were unable to visually see and supervise two infants that were sleeping in cribs on the far side of the room.

Corrected Corrected by May 16, 2023

Category: supervision. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file for child #4 had an emergency contact form that lacked information on the child's special needs, as specified by the child's parent and physician.

Corrected Corrected by May 16, 2023

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

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 files for child #1 and #4 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by May 16, 2023

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.

The files for child #3 and #5, preschoolers, lacked a current health assessment updated within the last 12 months. The file for child #6, a preschooler, had a health assessment that exceeded 12 months between assessments.

Corrected Corrected by May 16, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to 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 child care group settings). Children #2, #3, and #5 must be dismissed from care by close of business on 5-8-23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #2, a 21 month old, child #3, a 4 year old, and child #5, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by May 16, 2023

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file for staff person #10 had a health assessment that said "Yes" to having any communicable diseases and lacked an explanation of the results.

Corrected Corrected by May 16, 2023

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

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

In the facility, there were multiple lunch boxes in multiple child care rooms that had potentially hazardous food brought from the child's home, including yogurt and cheese, that were not refrigerated.

Corrected Corrected by May 16, 2023

Category: nutrition. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for child #2 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by May 16, 2023

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.

The facility lacked documentation on file of an emergency drill being conducted within the last year.

Corrected Corrected by May 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #13 will have until 8-11-22 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #13 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #14, staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #13 may not work in a child-care position at the facility.

Continued Non-Compliance: On 5-19-22, a renewal inspection was conducted at the facility. Staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #13 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved trainer. The facility's acceptable plan of correction indicated the correction would be implemented by 7-22-22. On 7-27-22 an unannounced inspection was conducted. Staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #13 still have not completed the following required pre-service training: Pediatric first-aid/CPR training from a PQAS approved trainer.

Corrected Corrected by Jul 31, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #14 will have until 7-22-22 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #14 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #14, staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #14 may not work in a child-care position at the facility.

Staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #14 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved trainer. Staff person #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

Corrected Corrected by Jul 22, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire.

Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Approved Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9).

Corrected Corrected by Jul 11, 2022

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). 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 #16 may not work at the facility.

The file for staff person #16 lacked the required out of state Sex Offender and Child Abuse & Neglect registry checks for a staff person that resided outside of Pennsylvania within the previous 5 years.

Corrected Corrected by Jul 11, 2022

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

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

Staff person #15 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Jul 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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 #13, functioning as an assistant group supervisor, lacked verification of education to qualify as an assistant group supervisor.

Corrected Corrected by Jul 11, 2022

Category: supervision. Marked corrected in the state record.

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.

On the outdoor play space, the plastic trim at the bottom of both of the doors to the right entrance of the building had sharp edges that were accessible to children.

Corrected Corrected by Jul 11, 2022

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

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.

In the older toddler room, with older toddlers present in the room, the fabric climbing structure in the middle of the room had tears in multiple places with small pieces coming apart that were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jul 11, 2022

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.

The files for child #4, an older toddler, child #5, a preschooler, and child #6, an older toddler, lacked a current health assessment updated within the last 12 months.

Corrected Corrected by Jul 11, 2022

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #1 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Jul 11, 2022

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

3270.131(e)(1)/3270.182(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. A child's record shall contain initial and subsequent health reports.

The file for child #2, a 5 year old, child #3, a 3 year old, child #4, a 2 year old, child #5, a 5 year old, and child #7, a 5 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #1, a 7 month old, had an immunization record that lacked documentation of the 2nd dose of the Rotavirus, HIB, and Polio vaccinations by age 4 months and the 2nd & 3rd doses of the DTAP and Pneumococcal vaccinations by age 6 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #6, a 2 year old, had an immunization record that lacked documentation of the 4th dose of the DTAP vaccination by age 18 months and the 2nd dose of the Hepatitis A vaccination by age 23 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Jul 11, 2022

Category: health medication. 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).

The facility's emergency plan lacked a plan that provides for accommodations for evacuation of children to a location away from the facility premises.

Corrected Corrected by Jul 11, 2022

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