3270.131(d)(1)/3270.131(d)(3) · A health report shall include a review of the child's health history. A health report shall include a list of the child's current medication and the reason for the medication.

During a renewal inspection on 4/15/25, the file for child # 1 was reviewed and there was no review of the child's health history or list of medications if any.

Corrected Corrected by May 16, 2025

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.

During a renewal inspection on 4/15/25, there was no Shaken Baby Syndrome Policy on file.

Corrected Corrected by Apr 25, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

During a renewal inspection on 4/15/23, staff persons # 2, 4, 5, & 6 did not complete annual fire safety training. This is evidenced by the fire safety training certificates dated 1/11/24 and 2/24/25.

Corrected Corrected by Apr 15, 2025

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. Facility Person #--- may not work in a child care position at the facility.

During a renewal inspection on 4/15/25, there was no NSOR verification on file for staff # 1 (See code sheet for DOH) as required by CPSL. The NSOR verification on file for staff # 2 (see code sheet for DOH) did not have a date and is therefore not valid. The FBI clearance on file for staff # 3 is dated 3/28/25, there is no proof that they were fingerprinted prior to their start date (see code sheet).

Corrected Corrected by Apr 15, 2025

Category: background checks. 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.

During a renewal inspection on 4/15/25, certification rep observed cords to hanging from a window inside the preschool classroom, creating a hazard to the children.

Corrected Corrected by Apr 15, 2025

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

3270.131(d)(7)/3270.131(d)(8) · 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. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

During a renewal inspection on 4/15/25, the file for child # 1 was reviewed and did not include a statement that they are able to participate in child care, appears to be free of communicable disease, or that they had age-appropriate screenings.

Corrected Corrected by May 16, 2025

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.

During a renewal inspection on 4/15/25, a file review of staff # 2 was conducted - more than 24 months passed between health assessments as evidenced by the forms on file dated 11/3/22 and 3/13/25.

Corrected Corrected by Apr 15, 2025

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.

During a renewal inspection on 4/15/25, the file for staff # 1 only had one written nonfamily reference.

Corrected Corrected by Apr 17, 2025

Category: recordkeeping. 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 review of the emergency plan at the renewal inspection on 4/15/25, there was no accommodations for infants, toddlers, and children with special needs, disabilities and chronic medical conditions.

Corrected Corrected by Apr 15, 2025

Category: physical safety. 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. Until such time as the required pre-service trainings are completed, staff person #1 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 person(s) available to supervise staff person #1, then staff person #1 may not work in a child-care position at the facility.

A renewal inspection was conducted on 4/19/24. At that time, Staff person #1 was 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.

Corrected Corrected by Apr 19, 2024

Category: supervision. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

A renewal inspection was conducted on 4/19/24. At that time, the hot water in the preschool bathroom reached a temperature of 125° F.

Corrected Corrected by Apr 19, 2024

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

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

A renewal inspection was conducted on 4/19/24. At that time, older toddlers were observed playing with playmags magnetic tiles in the small room. The playmags were labeled "ages 3+."

Corrected Corrected by Apr 19, 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.

A renewal inspection was conducted on 4/19/24. At that time, the staff files were reviewed. The health assessment for Staff Person #1 was dated 10/18/22, more than 12 months prior to their date of hire. The TB test results for Staff Person #1 were dated 10/19/13, more than 12 months prior to their date of hire.

Corrected Corrected by Apr 19, 2024

Category: ratio. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

A renewal inspection was conducted on 4/19/24. At that time, the fire drill log was reviewed. The fire drills were conducted more than 60 days apart. The dates of the fire drills were: 6/6/23, 8/6/23, 10/4/23, 12/4/23, 2/4/24, 4/4/24.

Corrected Corrected by Apr 19, 2024

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.

A renewal inspection was conducted on 4/19/24. At that time, the thirty day testing log for the fire detection system was reviewed. The fire detection system was tested more than 30 days apart. The dates of the testing were:4/3/23, 5/3/23, 6/3/23, 7/3/23, 8/2/23, 9/3/23, 10/3/23, 11/1/23, 12/3/23, 1/3/24, 2/3/24, 3/3/24, 4/3/24.

Corrected Corrected by Apr 19, 2024

Category: recordkeeping. 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.

A renewal inspection was conducted on 4/18/23. At that time, Staff Person #1 did not have documentation of emergency plan training on file since 1/19/19.

Corrected Corrected by Apr 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

A renewal inspection was conducted on 4/18/23. At that time, Staff Person #1 and Staff Person #2 did not have documentation of fire safety training completed in the past year. The date of the most recent training on file is 1/29/21.

Corrected Corrected by Apr 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

A renewal inspection was conducted on 4/18/23. At that time, Staff Person #1 did not have a written evaluation in their file since 1/11/21.

Corrected Corrected by Apr 25, 2023

Category: recordkeeping. 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.

A renewal inspection was conducted on 4/18/23. At that time, the base of the legs of the table in the young toddler room were rusty and leaving rust marks on the floor where the toddlers were observed crawling around.

Corrected Corrected by Apr 25, 2023

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.

A renewal inspection was conducted on 4/18/23. At that time, a plastic bag was observed in a drawer approximately ten inches high in the older toddler room where staff stated a child in the room is still placing objects in their mouth.

Corrected Corrected by Apr 18, 2023

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). Child #1 and Child #2 must be dismissed from care by close of business 4/18/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted on 4/18/23. At that time, the child files were reviewed. The immunization records for Child #1 did not include documentation of administration of the flu vaccine since 10/23/20. The immunization records for Child #2 did not include documentation of administration of the flu vaccine.

Corrected Corrected by Apr 18, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #1 must take 8 hours of professional development to fulfill requirement for training year 12/19/21-12/19/22. Staff person #2 must take 1 hour of professional development to fulfill requirement for training year 12/19/21-12/19/22.

A renewal inspection was conducted on 4/18/23. At that time, Staff Person #1 did not have documentation of 12 child care training hours on file from the 12/19/21-12/19/22. Staff Person #1 had 4 training hours in their file. Staff Person #2 did not have documentation of 12 child care training hours on file from the 12/19/21-12/19/22. Staff Person #2 had 11 training hours in their file.

Corrected Corrected by Apr 25, 2023

Category: recordkeeping. 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.

A renewal inspection was conducted on 4/4/22. At that time, a water stained ceiling tile was observed in the Preschool Room.

Corrected Corrected by Apr 4, 2022

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

A renewal inspection was conducted on 4/4/22. At that time, the emergency exit door off room 6S was unable to be opened during the inspection.

Corrected Corrected by Apr 8, 2022

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

A renewal inspection was conducted on 4/4/22. At that time, the file for Staff Person #2, date of hire 11/13/14, did not contain a staff evaluation completed within the past year.

Corrected Corrected by Apr 8, 2022

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.

A renewal inspection was conducted on 4/4/22. At that time, the file for Staff Person #3, date of hire 3/31/22, did not contain a signed disclosure statement.

Corrected Corrected by Apr 4, 2022

Category: background checks. 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.

A renewal inspection was conducted on 4/4/22. At that time, the first aid kit in the Room off 6S did not contain scissors.

Corrected Corrected by Apr 4, 2022

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

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.

A renewal inspection was conducted on 4/4/22. At that time, exposed bolts were observed on the gate of the playground fence.

Corrected Corrected by Apr 8, 2022

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

3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

A renewal inspection was conducted on 4/4/22. At that time, the emergency contact information in Room off 6S had not been updated when the master file emergency contact information was updated.

Corrected Corrected by Apr 18, 2022

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.

A renewal inspection was conducted on 4/4/22. At that time, director stated that an emergency drill had been conducted in November 2021, but had not documented the drill.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

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

A renewal inspection was conducted on 4/4/22. At that time, staff files were reviewed. The file for Staff Person #1, date of hire 11/17/12, did not contain documentation of any training hours completed in the past year. The file for Staff Person #2, date of hire 11/13/14, contained documentation of 9 training hours completed within the past year.

Corrected Corrected by May 4, 2022

Category: recordkeeping. Marked corrected in the state record.