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

The most recent emergency drill documentation on file at the facility is dated 7/10/24, more than 12 months prior.

Corrected Corrected by Sep 5, 2025

Category: recordkeeping. 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.

At the time of inspection, the cribs in the infant space were not labeled for the use of a specific child.

Corrected Corrected by Sep 4, 2025

Category: physical safety. 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.

The two most recent Pediatric First Aid/CPR trainings on file for Staff #1 are dated 9/28/21 and 5/7/24, exceeding the expiration date.

Corrected Corrected by Sep 4, 2025

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff #1 must complete PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2.

Staff #1 has completed the health and safety update course titled Pennsylvania Health and Safety Updated 2022 (1 hour) training but has not completed the required health and safety courses titled Health and Safety Basics: Requirements for Certification (6 hours) or Get Started with Center-Based Care: Building Blocks for Quality (10 hours).

Corrected Corrected by Oct 31, 2025

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff #2 -- may not work in a childcare position at the facility.

At the time of inspection, the two most recent State Police clearances on file for Staff #1 were dated 1/28/19 and 3/25/24, more than 60 months apart. At the time of inspection, the two most recent Child Abuse clearances for Staff #1 were dated 3/6/19 and 3/25/24, more than 60 months apart. At the time of inspection, the two most recent FBI Fingerprint clearances on file for Staff #1 were dated 2/7/19 and 3/23/24, more than 60 months apart. The file for Staff #2 contained an FBI clearance issued by the Department of Education, which is not an acceptable format. Staff #2 may not work in a childcare position at the facility.

Corrected Corrected by Sep 11, 2025

Category: background checks. 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.

Disinfectant wipes labeled "keep out of the reach of children" were observed under the sink in the kitchen area in an unlocked cabinet.

Corrected Corrected by Sep 4, 2025

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.

In the School Age Room, the first aid kit lacked soap and tweezers.

Corrected Corrected by Sep 4, 2025

Category: health medication. 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 Preschool Room, peeling paint was observed to the right of the school age door and to the right of the play washing machine. In the boy's bathroom, broken drywall was observed on the wall near the large bathroom stall. In the School Age Room, broken drywall was observed along the edge of the chalkboard bump out wall.

Corrected Corrected by Sep 4, 2025

Category: physical safety. 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.

In the Preschool Room, a toy dryer contained ripped particle board on the handle and not in good repair.

Corrected Corrected by Sep 4, 2025

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

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

At the time of inspection, the file for Child #3 lacked an agreement form.

Corrected Corrected by Sep 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for Child #1, Child #2, and Child #4 contained the original agreement form, not a copy.

Corrected Corrected by Sep 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The most recent health report form on file for Child #2, a young toddler, is dated 2/11/25, more than 6 months prior.

Corrected Corrected by Oct 31, 2025

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

3270.151(a)/3270.192(3) · 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. 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.

The two most recent staff health assessments on file for Staff #1 are dated 8/3/21 and 1/28/25, more than 24 months apart.

Corrected Corrected by Sep 4, 2025

Category: ratio. 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 health assessment on file for Staff #2 did not include information regarding communicable diseases.

Corrected Corrected by Sep 30, 2025

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

3270.151(c)(4) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The health assessment on file for Staff #2 lacked information regarding medical problems that would prohibit a staff person from providing adequate care to children.

Corrected Corrected by Sep 30, 2025

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for Staff #2 lacked the physician's assessment of the person's suitability to provide childcare.

Corrected Corrected by Sep 30, 2025

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.

The facility's fire detection log contained dates 7/11/25-8/12/25, more than 30 days in between.

Corrected Corrected by Sep 4, 2025

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.

At the time of inspection, the file for Staff #1 contained 0 out of 12 childcare training hours during the timeframe of 3/2024-3/2025.

Corrected Corrected by Oct 31, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection, the initial health assessment on file for Child #3 is dated 3/20/25, more than 60 days after enrollment.

Corrected Corrected by Sep 4, 2025

Category: health medication. 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.

At the time of inspection, the most recent documented date on the facility's fire drill log is 9/12/24, more than 60 days prior.

Corrected Corrected by Mar 19, 2025

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.

At the time of inspection, the most recent documented date on the facility's fire detection log is 9/12/24, more than 30 days prior.

Corrected Corrected by Mar 19, 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.

The facility's emergency plan did not contain a policy addressing continuity of operations, required as of 7/1/22 per Announcement C-22-04.

Corrected Corrected by Sep 20, 2024

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The facility lacked documentation that the emergency plan is reviewed annually.

Corrected Corrected by Sep 20, 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.

The emergency plan training on file for Staff Person #3 was dated 6/23/23, more than 12 months prior.

Corrected Corrected by Sep 20, 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) LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1 -- may not work in a childcare position at the facility. 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 childcare position at the facility.

The file for Staff Person #1 lacked an out-of-state (Ohio) Child Abuse clearance.

Corrected Corrected by Sep 20, 2024

Category: background checks. 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.

In the preschool room, an Old Spice deodorant and BIC Correction Fluid were located in a plastic drawer behind the desk and accessible to children.

Corrected Corrected by Sep 23, 2024

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 Toddler Room (right) peeling paint was observed to the right of the hanging bookbags.

Corrected Corrected by Sep 23, 2024

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 Infant Room, the diapering area did not contain a handwashing sign.

Corrected Corrected by Sep 23, 2024

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

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The fee agreement form for Child #2 did not contain a date for the fee to be paid.

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. 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 emergency contact form for Child #2 lacked an address for the release persons.

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. 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 information. 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 form for Child #3 exceeded the 6-month update period.

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. 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.

The file for Staff Person #2 did not contain an initial health assessment. (See LIS Code Sheet)

Corrected Corrected by Sep 25, 2024

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The facility did not post the menu in a conspicuous location.

Corrected Corrected by Sep 25, 2024

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 file for Child #3 contained a financial agreement form that was updated more than 6 months apart.

Corrected Corrected by Sep 25, 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 for Staff Person #1 did not contain two written non-family references. The file for Staff Person #2 only contained one written non-family reference.

Corrected Corrected by Sep 23, 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's emergency plan lacked accommodations for children with disabilities and children with chronic medical conditions.

Corrected Corrected by Sep 20, 2024

Category: physical safety. 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, the facility did not have documentation that the current emergency plan was sent to local municipality and to the county emergency management agency.

Corrected Corrected by Sep 20, 2024

Category: physical safety. 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.

The file for Staff Person #3 (6 hours) lacked a minimum of 12 clock hours of childcare professional development training.

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for Child #1, enrolled more than 60 days, lacked an initial health report. (See LIS Code Sheet)

Corrected Corrected by Sep 23, 2024

Category: health medication. 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.

At the time of inspection, the facility's annual written notification to local traffic safety authorities was dated 6/21/23, more than 12 months prior.

Corrected Corrected by Sep 25, 2024

Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Based on staff interviews, on 3.5.24 for approximately 15 minutes, 1 staff person was alone in the facility with no other facility person present, with 13 children, including 7 preschool, 4 infants, and 2 young toddler.

Corrected Corrected by Jul 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.52 · 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 in § 3270.51 (relating to similar age level).

Based on statements obtained from more than one staff person, the infant and preschool rooms have been operating out of ratio in the mornings for approximately 15 minutes on a recurring basis since January.

Corrected Corrected by Jun 10, 2024

Category: ratio. Marked corrected in the state record.

3270.67(a) · Trash shall be removed from the facility at least once per day.

On 3/18/2024, a receptacle full of trash was observed in the school-age room and based on a conversation with staff, it had not been emptied at least once per day.

Corrected Corrected by Jun 10, 2024

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 3/18/2024, observed pieces of rubbish on the floors in the kitchen and the hallway; an accumulation of leaves was observed on the floor in the foyer; and food particles were observed on the countertop under the microwave and by the sink in the kitchen.

Corrected Corrected by Jun 10, 2024

Category: nutrition. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Protective receptacle covers were not placed in an electrical on the wall outside of the office, accessible to children 5 years of age or younger.

Corrected Corrected by Nov 28, 2023

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 facility's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the prevention and identification of child maltreatment, as per Announcement C-22-03.

Corrected Corrected by Nov 28, 2023

Category: ratio. 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.

Loose sheets were observed in two cribs in the infant room, which poses a potential suffocation risk to the children using the equipment.

Corrected Corrected by Nov 28, 2023

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. Facility Person #4 may not work at the facility.

The record for staff #1 lacked a signed disclosure statement. The record for staff #4, who resided outside of PA within the past 5 years, lacked a child abuse and neglect registry request or check from the state in which they resided.

Corrected Corrected by Nov 28, 2023

Category: background checks. 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 record for staff #2 lacked verification of a minimum of a high school diploma or GED required to be qualified to work as an AGS. The record for staff #3 lacked verification of a high school diploma or GED and 2 years experience with children required to be qualified to work as an AGS.

Corrected Corrected by Nov 28, 2023

Category: supervision. 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.

A Bumbo seat, described as hazardous by the United States Consumer Product Safety Commission, was observed in the infant room.

Corrected Corrected by Nov 28, 2023

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

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

The agreement for child #1, #2, #3 and #4 was not signed by the operator.

Corrected Corrected by Nov 28, 2023

Category: recordkeeping. 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, #3 and #4 did not specify the amount of the fee to be charged per day or per week.

Corrected Corrected by Nov 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement for child #1, #2 and #5 did not specify the date on which the fee is to be paid.

Corrected Corrected by Nov 28, 2023

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 #5 did not specify the child's arrival and departure times.

Corrected Corrected by Nov 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The record for child #2-5 did not contain the child's date of admission.

Corrected Corrected by Nov 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The agreement for child #1-#5 did not specify the services which are to be considered as extra.

Corrected Corrected by Nov 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The record for child #5 contained the original agreement.

Corrected Corrected by Nov 28, 2023

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.

The emergency contact information for child #3 and #4 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 Nov 28, 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 emergency contact information for child #4 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 28, 2023

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 record for staff #2, #3 and #5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Nov 28, 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.

There were low-growing prickly weeds on the ground inside the preschool outdoor play space and directly outside the entrances to the infant/toddler and preschool outdoor play spaces; there were sharp bolts protruding from the inside of the fence surrounding the outdoor play spaces; there were wooden boards used to trim the bottom of the fence inside the outdoor play spaces that were decomposing and breaking apart, which created sharp pieces; and there were multiple layers of carpeting in the infant/toddler outdoor play space, which created an uneven surface and potential tripping hazard for children in care.

Corrected Corrected by Jun 7, 2023

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.

Handwashing signs were not posted at 4 of the sinks and 1 urinal in the bathrooms and a sink in the kitchen area.

Corrected Corrected by Jun 26, 2023

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.

The operator was unable to present the proof of purchase for the interconnected fire detection system installed at the facility.

Corrected Corrected by Jun 26, 2023

Category: recordkeeping. Marked corrected in the state record.