3280.32(a)/3280.192(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 current NSOR clearances on file for Facility Persons #1 and #2 were completed more than 60 months after the previous respective NSOR clearances on file.

Corrected Corrected by Feb 24, 2025

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

There were cleaning supplies/toxics including Windex and WD-40 in an open closet in the main child care space, in reach of children. In the restroom, there were sanitizing wipes and hand sanitizer, labeled "keep out of reach of children" on a dresser in reach of children.

Corrected Corrected by Sep 26, 2025

Category: ratio. Marked corrected in the state record.

3280.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

There was a trash can with no lid in an open closet in the main child care space containing items used during lunch such as napkins used by the children.

Corrected Corrected by Sep 26, 2025

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

3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water temperature at the sink in the restroom used by children was measured to be 124° F

Corrected Corrected by Sep 29, 2025

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

3280.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

There was a hot plate (small appliance with two burners) near the edge of the counter in reach of children. It was used by staff to cook lunch for the children, then remained in reach while lunch was served to the children.

Corrected Corrected by Dec 4, 2025

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

3280.105(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

There was a packnplay in use with less than 2 feet of space on three sides.

Corrected Corrected by Sep 26, 2025

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

3280.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Ther was an infant asleep in a swing, not in the position recommended by the AAP.

Corrected Corrected by Sep 29, 2025

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

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact forms on file for children #1 and #2 did not include the name, address and phone number of the child's physician.

Corrected Corrected by Oct 1, 2025

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

3280.124(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 forms on file for children #1 and #2 did not include the child's health insurance information.

Corrected Corrected by Oct 1, 2025

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

3280.134(d) · A child shall have a labeled toothbrush if brushing teeth is a program activity.

There was a toothbrush in the restroom not labeled with the name of the child who uses it.

Corrected Corrected by Sep 26, 2025

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

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

Documentation of smoke detector testing on file indicates smoke detectors were tested on 4/11/25 and then again on 5/12/25, more than 30 days later.

Corrected Corrected by Jun 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The original agreements were on file for children #1-#5.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

There was a seesaw in the outdoor playspace, used by toddlers, mounted over mulch (with pieces with a diameter of less than 1 inch).

Corrected Corrected by Sep 17, 2024

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

3280.103 · 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.

There were plastic bags hung in a dispenser, low enough to be in reach of children, near the changing area in the child care space.

Corrected Corrected by Sep 16, 2024

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

3280.14/3280.20 · 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 program's emergency plan must include a plan for continuity of operations.

The facility's emergency plan did not include a plan for continuity of operations in the event of an emergency.

Corrected Corrected by Sep 17, 2024

Category: ratio. Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

The current child service report on file for child #5 was completed more than 6 months after the previous report on file was completed.

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · 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, Facility Persons #1 and #3 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise Facility Persons #1 and #3, Facility Persons #1 and #3 may not work in a child-care position at the facility.

Facility Persons #1 and #3 were observed supervising children in care at the facility. Neither Facility Person #1 or #3 have documentation on file of current pediatric first aid & CPR training completed by a certificate PQAS instructor,

Corrected Corrected by Sep 13, 2024

Category: supervision. Marked corrected in the state record.

3280.26(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The facility's emergency plan was not conspicuously posted.

Corrected Corrected by Sep 16, 2024

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

3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

There was no letter to the parents explaining the facility's emergency plan.

Corrected Corrected by Sep 17, 2024

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

Facility Persons #1, #2, #3, and #4 did not have documentation of at least 12 hour of child care training completed in their most recent completed annual period. Hours documented and on file were as follows: Facility Person #1 - 9 hours; Facility Person #2 and #3 - none during the period; Facility Person #4 - 10 hours.

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and 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 current pediatric first and & CPR training on file for Facility Persons #1, #2, #3, and #4 (all staff employed at the facility) was not conducted by a PQAS certified trainer.

Corrected Corrected by Sep 13, 2024

Category: ratio. Marked corrected in the state record.

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

There was a spray can of Febreze on a shelf in reach of children in an unlocked storage closet in the kitchen area.

Corrected Corrected by Sep 12, 2024

Category: ratio. Marked corrected in the state record.

3280.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

A portable burner/hot plate, on the counter in the kitchen area of the child care space, was in reach of children and in use by staff cooking lunch while children were present.

Corrected Corrected by Sep 12, 2024

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

3280.124(f)/3280.181(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 current agreement and emergency contact forms on file for child #5 were reviewed and updated by a parent more than 6 months after the previous update.

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(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 current health assessments on file for children #2 and #4, preschoolers, were completed more than 12 months after the previous health assessments on file.

Corrected Corrected by Sep 16, 2024

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

3280.134(d) · A child shall have a labeled toothbrush if brushing teeth is a program activity.

Six of the toothbrushes on the shelf in the bathroom were not labeled with the child's name.

Corrected Corrected by Sep 19, 2024

Marked corrected in the state record.

3280.134(e) · Toothbrushes shall be stored with the bristles up and exposed to circulating air.

There was a child's toothbrush stored in a plastic bag on a shelf in the bathroom.

Corrected Corrected by Sep 12, 2024

Marked corrected in the state record.

3280.151(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 most recent health assessment on file for staff #4 was completed more than 24 months prior.

Corrected Corrected by Sep 16, 2024

Category: ratio. Marked corrected in the state record.

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The documentation of the emergency drill conducted in the previous 12 months did not include all required items.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

According the log on file at the facility, smoke detector testing occurred in intervals greater than 30 days on the following dates: 6/20/24-7/22/24; 1/26/2402/28/24; and 9/1/23-10/5/23.

Corrected Corrected by Sep 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

The file for Staff #1 was lacking the actual state police clearance certificate.

Corrected Corrected by Sep 26, 2023

Category: supervision. Marked corrected in the state record.

3280.111(b) · The written plan of daily activities and routines shall be posted in a traffic area used by parents.

The facility was lacking a posted daily schedule.

Corrected Corrected by Oct 23, 2023

Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

The files for Child #1, 2,and 3 have all been enrolled for more than 6 months and are all lacking Child Service Reports.

Corrected Corrected by Nov 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(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 files for Child #1, 2, and 3all have been enrolled for more than 6 months were all lacking 6 month updates on their emergency contact form and financial agreement forms.

Corrected Corrected by Nov 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(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 #3 contained immunization record that was lacking the rotovirus immunization and the annual influenza vaccine. The file for Child #4 contains an immunization record that was lacking the annual influenza vaccine.

Corrected Corrected by Dec 4, 2023

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

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Four diaper changes were observed and child's hands were not being washed after diaper changes were complete.

Corrected Corrected by Sep 26, 2023

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

3280.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

The staff were observed changing four diapers and they failed to wash their hands after each diaper change.

Corrected Corrected by Sep 26, 2023

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

3280.24(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 was lacking information for all parents on how to access the regulations electronically.

Corrected Corrected by Oct 11, 2023

Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file for Staff #2 obtained their Health and Safety training more than 90 after their start date.

Corrected Corrected by Oct 11, 2023

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

3280.123(a)(6) · An agreement shall specify the date of the child's admission.

The file for Child #1 contained an Agreement form that was lacking the child's enrollment date.

Corrected Corrected by Oct 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The file for Child #1 contained an immunization record that was lacking the annual flu immunization and one dose of the Hepatitis A vaccine.

Corrected Corrected by Oct 17, 2022

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility did not conduct and document an emergency drill in 2021.

Corrected Corrected by Oct 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the outside play space and under the air conditioner unit, observed peeling paint.

Corrected Corrected by Sep 21, 2021

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

3280.102(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 a pink pack n play with a one inch rip on the netting.

Corrected Corrected by Sep 10, 2021

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

3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children.

. In the main child care space and in the top unlocked desk drawer, which was accessible to the children in care, observed a lighter and sharp adult scissors. Thus, posing a threat to the health and safety of the children in care

Corrected Corrected by Sep 10, 2021

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

3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

There was more than 12 months between reviews of the emergency plan. Dates are as follows: 2/4/20 and 8/8/21.

Corrected Corrected by Sep 23, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.34(c) · A primary staff person shall supervise the performance of a secondary staff person

On 9/9/21, observed primary staff person #1 leave the main child care space and take a child to the bathroom. This left secondary staff person #2 unsupervised by a primary staff person.

Corrected Corrected by Sep 13, 2021

Category: supervision. Marked corrected in the state record.

3280.52(c) · 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 at §3280.52(b).

On 9/9/21, observed staff person #1 with 4 preschool and 1 older toddler in her supervisory group and staff person #2 with 1 infant and 4 young toddlers in her supervisory group. Staff person #2's group was out of ratio - 1:5. On 9/9/21, observed staff person #1 leave the room and take a preschool age child to the bathroom. This left staff person #2 with 4 young toddlers, 1 infant, 1 older toddler and 4 preschool age children in her supervisory group. Staff #2's group was out or ratio - 1:10.

Corrected Corrected by Sep 9, 2021

Category: supervision. Marked corrected in the state record.

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

On the black desk in the main child care room, observed an outlet receptacle standing unit which lacked receptacle covers. There were children 5 years of age and younger.

Corrected Corrected by Sep 10, 2021

Marked corrected in the state record.

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

In the main child room and in the black desk in an unlocked drawer which was accessible to the children, observed toxic fingernail polish, lens wipes and Mary Kay lotion. In the bathroom and on the dryer, observed multiple toxic cleaning products which were accessible to the children in care. Also in the bathroom and on an accessible shelf to the left wall, observed toxic hair products, lotion, sanitizing wipes and perfume.

Corrected Corrected by Sep 24, 2021

Category: ratio. Marked corrected in the state record.

3280.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In an unlocked craft drawer which was accessible to infants and toddlers, observed bingo chips, small puff balls, eyeballs, magnetic letters, and beads, all with a diameter of less than 1 inch. In the main child care space, observed staples, with a diameter of less than an inch, in an accessible unlocked drawer.

Corrected Corrected by Sep 9, 2021

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

3280.105(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

At nap time, observed two children which were napping on rest equipment and there was not 2 feet of space on three sides.

Corrected Corrected by Sep 9, 2021

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

3280.94(a)(1) · Fire drills are conducted at least once every 60 days.

There was more than 60 days between fire drills which were conducted on 4/13/21 and 6/21/21. The last fire drill was more than 60 days ago.

Corrected Corrected by Sep 20, 2021

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

3280.95(a)/3280.95(b) · (a) Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).(b) The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. Fire detection systems/units shall be checked every 30 days.

The last check of the fire detection system was completed more than 30 days ago. Last check was completed 6/21/21.

Corrected Corrected by Sep 20, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.24(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 operator did not provide parents of each enrolled child with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Sep 27, 2021

Marked corrected in the state record.

3280.26(a)(1)/3280.26(a)(5) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.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 a plan that provides for shelter of children during lock down and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Sep 27, 2021

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