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.

Emergency contact information for Child #2 did not 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.

Corrected Corrected by Jul 16, 2025

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

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed a pack 'n play with a loose sheet in the Infant/Toddler Room creating a potential suffocation hazard.

Corrected Corrected by Jul 16, 2025

Category: health medication. 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.

The file of Staff #2 lacked documentation of receiving training regarding the emergency plan on annual basis. The file of Staff #2 contained documentation of emergency plan training on 4/29/24 but no documentation of emergency plan training in 2025.

Corrected Corrected by Jul 16, 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.

The file of Staff #1 lacked a DHS FBI Clearance updated every 60 months. The file of Staff #1 contained a DHS FBI Clearance dated 5/27/21 with a previous one dated 4/27/16.

Corrected Corrected by Jul 16, 2025

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 #1 lacked documentation of completing mandated reporter training every 60 months. Staff #1 had documentation of completing mandated reporter training on 6/9/25 with previous training completed on 6/3/20.

Corrected Corrected by Jun 9, 2025

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.

Observed Germ X Moisturizing Original Hand Sanitizer which indicated "keep out of the reach of children" on the table beside the building in the Outdoor Play Space which was accessible to children.

Corrected Corrected by Jul 16, 2025

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.

Observed foam blocks with bite marks in the 2nd storage cabinet in the Outdoor Play Space.

Corrected Corrected by Jul 16, 2025

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact information for Child #1 did not include the complete home address of the enrolling parent.

Corrected Corrected by Jul 16, 2025

Category: recordkeeping. 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.

Emergency contact information for Child #3 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Jul 17, 2025

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

3270.92(a) · Portable space heaters are not permitted.

Observed a portable space heater in the office.

Corrected Corrected by Jul 23, 2024

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.

The file of Staff #5 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #5 contained documentation of completing the health and safety update on 1/12/23.

Corrected Corrected by Jan 12, 2023

Category: ratio. 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.

Observed approximately a 3 1/2 foot doll house in the Preschool Room which was not anchored creating a potential tipping hazard.

Corrected Corrected by Jul 24, 2024

Category: physical safety. 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 letter to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 12, 2024

Category: physical safety. 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.

The files of Staff #3 and #6 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #3 contained documentation of fire safety training completed on 6/10/24 with previous training completed on 5/25/23. The file of staff #6 contained documentation of fire safety training completed on 6/10/24 with previous training completed on 5/30/23.

Corrected Corrected by Jul 23, 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.

The file of Staff #6 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Staff #6 contained a State Police Clearance dated 11/10/23 with a previous one dated 8/11/18. The file of Staff #6 contained a Child Abuse Clearance dated 11/10/23 with a previous one dated 8/1/18. The file of Staff #6 contained a DHS FBI Clearance dated 11/13/23 with a previous one dated 8/6/18. Staff #7 lacked a valid State Police Clearance. Staff #7 had a State Police Clearance dated 5/10/23 which indicated "results still pending". The file of Staff #8 lacked documentation of application for the State Police Clearance prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #8 contained a State Police Clearance dated 6/14/24. The file of Volunteer #9 lacked a National Sex Offender Registry Certificate and disclosure statement.

Corrected Corrected by Jul 23, 2024

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #3 and Staff #6 lacked documentation of completing mandated reporter training every 60 months. Staff #3 had documentation of mandated reporter training completed on 5/24/23 with previous training completed on 2/16/18. Staff #6 had documentation of mandated reporter training completed on 11/7/23 with previous training completed on 11/2/18.

Corrected Corrected by Jul 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(iii) · 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 following the outset of service at the facility.

The file of Staff #6, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Corrected Corrected by Jul 24, 2024

Category: supervision. 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.

Observed foam blocks and letters with bite marks on a shelf in the Men's Bathroom.

Corrected Corrected by Jul 24, 2024

Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement for Child #2 did not specify the amount of the fee to be charged per day or per week.

Corrected Corrected by Aug 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement for Child #3 did not specify the child's departure times.

Corrected Corrected by Jul 23, 2024

Category: recordkeeping. 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.

Emergency contact information for Child #2 did not 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.

Corrected Corrected by Jul 24, 2024

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.

Emergency contact information for Child #1 did not include the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The files of Children #3 and #4 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained health reports dated 9/20/23 and 4/12/24. The file of Child #4 contained health reports dated 7/25/23 and 5/14/24.

Corrected Corrected by Jul 24, 2024

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).

The file of Child #4, a 2-year-old, lacked Hepatitis B, DTAP/DTP/TD, Pneumococcal, and Polio immunizations according to the recommendations of the ACIP. Child #4 had documentation of 2 Hepatitis B immunizations, 2 DTAP/DTP/TD immunizations, 2 Pneumococcal immunizations, and 2 Polio immunizations.

Corrected Corrected by Jul 24, 2024

Category: health medication. 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 of Staff #4 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #4 had a Mantoux test read date of 8/17/19.

Corrected Corrected by Aug 5, 2024

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

3270.181(c) · A 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.

The emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact was signed on 8/25/23 and reviewed on 3/5/24 and 6/24/24. Child #3's agreement was signed on 8/29/23 and reviewed on 3/5/24 and 6/24/24. The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was signed on 8/21/23 and reviewed on 3/5/24 and 6/25/24.

Corrected Corrected by Jul 24, 2024

Category: recordkeeping. 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.

The file of Volunteer #9 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 26, 2024

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.

The facility did not have an emergency plan that provides for accommodations for toddlers and children with chronic medication conditions.

Corrected Corrected by Aug 20, 2024

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

3270.31(f)(10) · Staff persons shall complete professional development in the topics of 3270.31(f) (10) within 90 days of hire. Staff persons #1, #2, #3, #4, #5, #6, and #7 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff persons #1, #2, #3, #4, #5, #6, and #7 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 persons #1, #2, #3, #4, #5, #6, and #7, staff persons #1, #2, #3, #4, #5, #6, and #7 may not work in a child-care position at the facility.

Staff persons #1, #2, #3, #4, #5, #6, and #7 do not have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer is PQAS-certified in that training topic.

Corrected Corrected by Aug 20, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file of Staff #4 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #4 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 6/15/24.

Corrected Corrected by Aug 2, 2024

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

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The Director or designated person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills.

Corrected Corrected by Jul 24, 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.

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 7/3/23, 8/3/23, 9/11/23, 10/11/23, 11/17/23, 12/19/23, 1/18/24, 2/12/24, 3/13/24, 4/9/24, 5/9/24, 6/9/24, and 7/2/24.

Corrected Corrected by Jul 24, 2024

Category: recordkeeping. 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.

It was in the outdoor play space on the left side of the exit door, a large blue tote with a cracked lid.

Corrected Corrected by Jul 31, 2023

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

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement form on file for Child #1 was observed not to contain the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jul 31, 2023

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.

On the day of inspection, the health report on file for child #2 did not contain documentation of an updated health report. This is evidenced by the last health report being dated 7/6/22.

Corrected Corrected by Aug 31, 2023

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

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

It was observed that the child records were not stored in a locked filing cupboard.

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. 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 cracked magnetic block and a broken plastic bin were observed in the preschool room. It was also observed in the outdoor play area peeling table clothes on the picnic tables.

Corrected Corrected by Aug 16, 2022

Category: physical safety. 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.

The outdoor sink by the wooden play house by the back fence had splintering wood on the surface. Also, the bench beside the same sink was observed to have a broken screw exposing the children in care to rough edges and sharp corners.

Corrected Corrected by Jul 22, 2021

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.

It was observed that there was not a handwashing sign posted above the toilets in the restrooms.

Corrected Corrected by Jul 22, 2021

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

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

Two wooden chairs in the School age/kitchen area were observed to be loose and wobbly that could cause a fall hazard.

Corrected Corrected by Jul 24, 2021

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

Although activity schedules were posted, it was observed that an activity schedule was not directly posted in the Preschool Classroom.

Corrected Corrected by Jul 22, 2021

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

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

It was observed that the facility did not provide the parent of each child in the facility with information on how to access the regulations electronically.

Corrected Corrected by Jul 22, 2021

Marked corrected in the state record.