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 persons #1 and #2 must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Upon entrance to the Facility Staff Person's #1 and #2 were observed to be working unsupervised with children. The files for Staff Person's #1 and #2 lacked verification that they have current and approved Pediatric First Aid and CPR training. The file for Staff Person #2 also lacked completion of Part 1 of the health and safety training that is required to be completed prior to working alone with children.

Corrected Corrected by Nov 3, 2025

Category: supervision. 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 for Staff Persons #1 and #3 lacked verification that they had received emergency plan training within 90 days of starting at the facility (refer to LIS code sheet).

Corrected Corrected by Nov 6, 2025

Category: recordkeeping. 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 file for Staff Person #1 lacked current Pediatric First Aid and CPR training. The Pediatric First Aid and CPR training on file expired in July 2025.

Corrected Corrected by Nov 3, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #3 may not work in a child care position at the facility.

The files for Staff Person's #1, #2 and #3 lacked a signed disclosure statement prior to starting in a child care taking position. A signed disclosure statement for Staff Person #1 and #2 were not on file until October 29, 2025. The file for Staff Person #2 lacked a completed NSOR certificate prior to starting in a child care taking position. The NSOR certificate on file was dated 3 days after their reported starting in a child care taking position.

Corrected Corrected by Oct 30, 2025

Category: recordkeeping. 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.

One electrical outlet was observed to be missing a protective receptacle cover in the Preschool Classroom.

Corrected Corrected by Oct 29, 2025

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.

One exposed bolt near the gate latch on the outside play space fence was observed to be missing a plastic cover.

Corrected Corrected by Oct 29, 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 outdoor play space, a yellow Little Tykes push car was observed to be missing the two back wheels.

Corrected Corrected by Oct 29, 2025

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

In the Infant Classroom medication bin, an open bottle of Benadryl was observed for Child #1 and two tubes of Orajel were observed for Child #2. Parental written consents for missing for the medications.

Corrected Corrected by Oct 30, 2025

Category: ratio. 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.

The file for Staff Person #2 lacked an initial health assessment and tuberculosis prior to starting in a child care taking position.

Corrected Corrected by Nov 6, 2025

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · 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 #1 lacked verification of education and 2 years (2500 hours) of child care experience to qualify them for the position of AGS that they were observed to be performing. The file for Staff Person #1 only contained 1.957.16 hours. The file for Staff Person #2 lacked verification of 1 year (1250 hours) child care experience to qualify them for the position of AGS that they were observed to be performing.

Corrected Corrected by Oct 30, 2025

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 lacked two written, nonfamily references from individuals attesting to their suitability to serve as a facility person.

Corrected Corrected by Oct 29, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff Person #3 lacked verification of completion of an approved Pediatric First Aid and CPR training and they have exceeded 90 days since their reported date of hire (refer to LIS code sheet).

Corrected Corrected by Oct 30, 2025

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

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter ensure a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

A written record verifying fire drills had been completed at the facility at least every 60 days was not on file at the time of the unannounced inspection.

Corrected Corrected by Oct 30, 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 the unannounced inspection, the facility lacked documentation to verify that the fire detection system had been tested every 30 days.

Corrected Corrected by Oct 30, 2025

Category: recordkeeping. 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 #1 and #2 will be dismissed from care at the close of business on 1.10.2025.

The most recent immunization record on file for Child #1, an infant, lacked verification that the child had received their recommended 6-month DTAP, HIB and Pneumococcal vaccinations. The most recent immunization record on file for Child #2, a young toddler, lacked verification that the child had received their 12--15-month Varicella vaccination.

Corrected Corrected by Jan 13, 2025

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 updates to the emergency contact form and financial agreement on file for Child #3 have exceeded 6 months since their last update on 6.17.2024.

Corrected Corrected by Jan 13, 2025

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.

The staff evaluations on file for Staff Person #1 exceeded 12 months between evaluations dated 4.19.22 and 10.3.23.

Corrected Corrected by Feb 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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

A written plan of daily activities was not posted in the Classroom 3, the Infant Classroom.

Corrected Corrected by Feb 6, 2024

Category: physical safety. 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.

The file for Child #2, a preschool age child, lacked a current health report. The most recent health report was dated 12.16.22.

Corrected Corrected by Feb 6, 2024

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

3270.131(d)(1)/3270.131(d)(4) · A health report shall include a review of the child's health history. A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The health report on file for Child #3 lacked information to include a review of the child's health history and an assessment of any health problems, special needs or recommendations for treatment or services.

Corrected Corrected by Feb 6, 2024

Category: health medication. 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.

The health reports on file for Children #1, #3 and #4 lacked information to include that the child is able to participate in child care and appears to be free from contagious or communicable diseases. The health reports on file for Children #1 and #2 also lacked information that the child had received age-appropriate screenings recommended by the AAP since the previous health report.

Corrected Corrected by Feb 6, 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 updates to the agreement form for Child #1 has exceeded 6 months since last review on 5.3.23.

Corrected Corrected by Feb 6, 2024

Category: recordkeeping. 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 most recent emergency contact form for Child #1 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid by facility staff.

Corrected Corrected by Feb 6, 2024

Category: ratio. 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 exceeded 30 days between fire alarm testing between 11.10.23 and 12.15.23. The last documented fire alarm test was completed on 12.15.23.

Corrected Corrected by Feb 6, 2024

Category: recordkeeping. 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.

Verification that the facility has submitted annual written notification of the pedestrian and vehicular routes around the facility to the local traffic safety authorities was not on file at the time of the inspection.

Corrected Corrected by Feb 6, 2024

Category: recordkeeping. 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 updates to the pediatric first aid and CPR training for Facility Person's #1 and #2 were completed after the expiration of the prior training. The pediatric first aid and CPR trainings for Facility Person #1 expired on 2.6.22. The updated pediatric first aid and CPR training was completed on 12.6.22. The pediatric first aid and CPR trainings for Facility Person #2 expired on 8.25.20. The updated pediatric first aid and CPR training was completed on 12.6.22.

Corrected Corrected by Jan 5, 2023

Category: ratio. Marked corrected in the state record.

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

The FBI clearances on file for Facility Person #2 exceeded 60 months between update based on clearances dated 3.30.17 and 5.2.22. The mandated reporter trainings on file for Facility Person #3 exceeded 60 months between update based on trainings dated 5.30.17 and 12.16.22.

Corrected Corrected by Jan 5, 2023

Category: background checks. 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.

The file for Facility Person #2, a Staff Person, lacked a current written evaluation. The last documented evaluation was 12.1.21.

Corrected Corrected by Feb 6, 2023

Category: recordkeeping. 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.

A hand washing sign was missing from the changing area in the Young Toddler Classroom.

Corrected Corrected by Jan 5, 2023

Category: health medication. 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.

The health assessments on file for Child #1, a preschool age child, exceeded 12 months between examinations on 2.11.21 and 12.29.22

Corrected Corrected by Jan 5, 2023

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.

The hands-free covered can at the changing table in the Infant Classroom was missing a plastic liner. Soiled diapers were observed in the can.

Corrected Corrected by Jan 5, 2023

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 updates to the health assessments on file for Facility Person #1 exceeded 24 months based on assessments dated 11.5.20 and 12.31.22. The updates to the Health Assessments on file for Facility Person #4 exceeded 24 months based on assessments dated 9.27.20 and 1.2.23. The file for Facility Person #2 lacked a current health assessment that had been completed in the last 24 months. The most recent health assessment on file was dated 10.6.20.

Corrected Corrected by Feb 6, 2023

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

One unlabeled bottle, intended for a child in care, was observed in the Infant Classroom.

Corrected Corrected by Jan 5, 2023

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.

Verification that the facility had provided annual notification to the local traffic safety authorities was not on file at the time of the inspection.

Corrected Corrected by Jan 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · 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

The last documented update to the emergency contact information on file for child #1 is dated more than 6 months ago.

Corrected Corrected by Feb 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

The emergency contact information for child #4 was not present in the 2-year-old room while child #4 was receiving care in the room.

Corrected Corrected by Jan 19, 2022

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 most recent documented emergency plan training on file for staff person #3 is dated more than 12 months ago.

Corrected Corrected by Feb 10, 2022

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.

The most recently documented fire safety training on file for staff person #3 is dated more than 12 months ago.

Corrected Corrected by Jan 24, 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. Facility Persons #1 and #2 may not work in a child care position at the facility.

The file for staff person #1contains an expired FBI clearance. The file for staff person #2 contains an FBI clearance obtained for Department of Education purposes, making it invalid.

Corrected Corrected by Jan 19, 2022

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.

The file for staff person #2 contains verification of mandated reporter training completed more than 90 days after staff person #2 began in a child care taking position.

Corrected Corrected by Jan 1, 2022

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 accessible deodorant and Aleve both labeled "keep out of the reach of children" in the unlocked medicine cabinet above the sink in the bathroom.

Corrected Corrected by Jan 19, 2022

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.

Observed the exit door from the basement area was locked from the outside, preventing egress from the basement area.

Corrected Corrected by Mar 11, 2022

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 file for child #3 contains emergency contact information which lacks the complete address of the parent-designated release person(s).

Corrected Corrected by Feb 10, 2022

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 most recent health report on file for child #2, an infant, is dated more than 6 months ago.

Corrected Corrected by Jan 14, 2022

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

3270.131(e)(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.

The file for child #2 lacks verification of a current influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Feb 18, 2022

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Observed an Epi-Pen in the one-year-old room which lacks parental written consent for administration.

Corrected Corrected by Jan 20, 2022

Category: ratio. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Written feeding schedules were not obtained from the parents of enrolled infants.

Corrected Corrected by Mar 11, 2022

Category: nutrition. 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 for staff person #2 lacks verification of current pediatric first and pediatric CPR training. Staff person #2 has worked in a child care taking positing more than 90 days.

Corrected Corrected by Jan 24, 2022

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.

A review of the fire drill log revealed that fire drills were held on 10/06/21 and 12/06/21, an interval greater than 60 days.

Corrected Corrected by Jan 19, 2022

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 review of the fire detection testing log revealed that testing completed during the following intervals exceed 30 days: 01/06/21-02/06/21, 03/06/21-04/07/21, 05/07/21-07/07/21, and 08/06/21-09/06/21.

Corrected Corrected by Mar 11, 2022

Category: recordkeeping. 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.

The facility lacks a posting with instructions for contacting the appropriate regional child care office.

Corrected Corrected by Mar 11, 2022

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 lacks verification of 12 hours of child care training completed in the previous 12 months of service.

Corrected Corrected by Jan 11, 2022

Category: recordkeeping. Marked corrected in the state record.