3280.63/3280.115(a)(3) · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Continued Non-Compliance: On 3/4/25 a renewal inspection was conducted at the facility. The ground around the one side of the pool has been dug out creating a drop off of 3-4 feet. The outdoor play space lacked a barrier restricting children access to the above ground pool according to guidelines of the US Consumer Product Safety Commission (CPSC). The facility's acceptable plan of correction indicated the correction would be implemented by 5/2/25. On 5/27/25 an unannounced inspection was conducted. The ground around the one side of the pool has been dug out creating a drop off of 3-4 feet. The outdoor play space lacked a barrier restricting children access to the above ground pool according to guidelines of the CPSC. The facility's acceptable plan of correction indicated the correction would be implemented by 6/15/25. On 6/23/25 an unannounced inspection was conducted. A newly constructed above ground swimming pool is located in the outdoor play space. Temporary plastic fencing was placed around the pool. The temporary fencing does not meet the barrier guidelines of the CPSC.

Corrected Corrected by Jul 18, 2025

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

3280.63/3280.115(a)(3) · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

The ground around the one side of the pool has been dug out creating a drop off of 3-4 feet. The outdoor play space lacked a barrier restricting children access to the above ground pool according to guidelines of the US Consumer Product Safety Commission.

Corrected Corrected by Jun 15, 2025

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

3280.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

The medication labeled for Child #6 had an expiration date of 1/18/25.

Corrected Corrected by Mar 5, 2025

Category: ratio. Marked corrected in the state record.

3280.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

The file for Child #1, an infant, lacked a statement giving the formula and feeding schedule obtained from the parent.

Corrected Corrected by Mar 20, 2025

Category: nutrition. 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 facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked prevention and identification of child maltreatment as per Announcement C-22-03.

Corrected Corrected by Mar 6, 2025

Category: ratio. 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. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The parent letter lacked information explaining the emergency procedures for lockdown situation, method for contacting parents when an emergency arises, method for informing parents how to safely reunite with their child(ren), and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Mar 6, 2025

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

3280.26(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.

The facility lacked documentation that the emergency plan was submitted to the local EMA.

Corrected Corrected by Apr 15, 2025

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.

The file for Staff Person #1 lacked 2 of the 12 annual required training hours for the most recent review period December 2023 through December 2024. The file for Staff Person #2 lacked 6 of the 12 annual required training hours for the most recent review period, April 2023 through April 2024.

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. 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.

Hydrogen-peroxide spray labeled "Keep out of reach of children" was observed on a shelf in an unlocked cabinet in the Child Care room accessible to children.

Corrected Corrected by Mar 6, 2025

Category: ratio. Marked corrected in the state record.

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. Staff Person #1 may not work in a child care position at the facility.

The file for Staff Person #1 lacked a current NSOR clearance. The NSOR clearance on file was dated 2/26/20 more than 60 months ago.

Corrected Corrected by Mar 6, 2025

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

3280.63/3280.115(a)(3) · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

The ground around the one side of the pool has been dug out creating a drop off of 3-4 feet. The outdoor play space lacked a barrier restricting children access to the above ground pool according to guidelines of the US Consumer Product Safety Commission.

Corrected Corrected by May 2, 2025

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

3280.76 · 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 was a hole in the linoleum floor covering in the Child Care room creating a tripping hazard.

Corrected Corrected by Mar 6, 2025

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

3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The file for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original fee agreement form signed by the parent.

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form for Child #3 lacked the enrolling parent's home address, work address, and work phone number.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. 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 form in the file for Child #3 lacked the health insurance policy number.

Corrected Corrected by Mar 20, 2025

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

3280.124(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 forms for Child #3 lacked the release person's address. The emergency contact form for Child #5 lacked the release person's address and phone number.

Corrected Corrected by Mar 20, 2025

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 emergency contact form and financial agreement for Child #1 was last updated on 8/28/24, more than 6 months ago.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5)/3280.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #1 will be dismissed from care by close of business 3/4/25 until either the immunization record is updated or a parent provides a written, signed exemption letter.

The file for Child #1, enrolled more than 60 days, lacked verification of vaccinations in accordance with the ACIP.

Corrected Corrected by Mar 20, 2025

Category: health medication. 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 the fire alarm system test shows more than 30 days between testing. (7/22/24 and 8/22/24; 8/22/24 and 9/23/24; 10227/24 and 11/22/24; 12/20/24 and 1/22/25)

Corrected Corrected by Mar 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.131(a)/3280.182(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 must contain initial and subsequent health reports.

The health report on file for Child #3 (See LIS Code Sheet) dated 1/16/25 was obtained more than 60 days after initial enrollment.

Corrected Corrected by Mar 20, 2025

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

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file for Child #1 contained an agreement form that was lacking the persons to whom the child may be released to.

Corrected Corrected by May 28, 2024

Category: recordkeeping. 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 file for Child #1 contained an emergency contact form that was lacking the child's health insurance policy number.

Corrected Corrected by May 28, 2024

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

3280.124(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 #2 contained an emergency contact form that was lacking the address of the people to whom the child may be released.

Corrected Corrected by May 28, 2024

Category: recordkeeping. 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 file for Staff #1 was lacking a health assessment.

Corrected Corrected by May 28, 2024

Category: ratio. Marked corrected in the state record.

3280.151(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 for Staff #1 was lacking a TB test at initial employment.

Corrected Corrected by May 28, 2024

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

3280.192(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 #1 was lacking two written, nonfamily references.

Corrected Corrected by May 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file for Child #5 contained an agreement form that was lacking the persons to whom the child can be releasesd.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(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.

There was no proof that the facility sent the most up to date emergency plan to the local and county emergency management agencies.

Corrected Corrected by May 4, 2023

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

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in any position at the facility.

The file for Staff #1 was lacking a state police clearance, FBI clearance and NSOR clearance.

Corrected Corrected by May 4, 2023

Category: background checks. 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.

It was observed at the facility that there was a missing plug cover in the plug right next to the Christmas tree.

Corrected Corrected by Mar 30, 2023

Marked corrected in the state record.

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The file for Child #4 contained an agreement form that was lacking the child's arrival and departure times.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The files for Child #2 and #4 contained emergency contact forms that were lacking parents work addresses and phone numbers.

Corrected Corrected by May 4, 2023

Category: recordkeeping. 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 file for Child #1 contained an emergency contact form that was lacking the child's health insurance policy number.

Corrected Corrected by May 4, 2023

Category: health medication. 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 #1 and #3 contained immunization records that were lacking the annual influenza vaccine. The file for Child #1 contained an immunization record that was also lacking one dose of the Hepatitis A vaccine,

Corrected Corrected by Jun 2, 2023

Category: health medication. 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 file for Staff #1 was lacking a health assessment and TB test done prior to providing care at the facility.

Corrected Corrected by May 4, 2023

Category: ratio. Marked corrected in the state record.

3280.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The facility was lacking a posted drop off pick up policy.

Corrected Corrected by May 4, 2023

Marked corrected in the state record.

3280.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff #1 was lacking verification of education and experience.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.192(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 #1 was lacking 2 nonfamily letters of reference.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(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 had an emergency plan that was lacking accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by May 4, 2023

Category: physical safety. 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 was lacking documentation of an annual emergency drill being conducted.

Corrected Corrected by May 4, 2023

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 facility was lacking instructions for the parents to be able to access the regulations electronically.

Corrected Corrected by May 4, 2023

Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify individual designated by the parent to whom the child may be released.

The file for child #1 lacked an agreement that specified individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. 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 file for child #4 lacked the telephone number of the child's physician.

Corrected Corrected by Apr 4, 2022

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #4 lacked work addresses and work telephone numbers of the enrolling parent.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The file for child #4 lacked an agreement that specified the amount of the fee to be charge per day or per week.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The file for child #4 lacked an agreement that specified the date on which the fee is to be paid.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. 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.

On the desk in the childcare room scissors with a sharp point were observed that were accessible to the children.

Corrected Corrected by Mar 3, 2022

Category: health medication. 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 care room on the desk a bottle of white out liquid and hand sanitizer labeled "Keep Out of Reach of Children" were observed and were accessible to the children.

Corrected Corrected by Mar 3, 2022

Category: ratio. Marked corrected in the state record.

3280.124(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 #1 lacked emergency contact information that included the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(1)/3280.182(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 must contain initial and subsequent health reports.

The file for child #2 lacked an updated child health report that was completed within the past 6 months. The child health report in the file is dated 5/11/21. The file for child #3 lacked an updated child health report that was completed within the past 12 months. The child health report in the file is dated 3/18/20.

Corrected Corrected by Apr 4, 2022

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

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The file for child #1 lacked an updated child health report that was completed within the past 12 months. The child health report in the file is dated 2/22/21.

Corrected Corrected by Apr 18, 2022

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.

It was observed that a child's hands were not washed after the child used the toilet.

Corrected Corrected by Mar 28, 2022

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

3280.151(a)/3280.192(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 file for staff person #1 lacked a staff health assessment that was completed within the last 24 months. The health assessment in the file is dated 8/2/19.

Corrected Corrected by Mar 31, 2022

Category: ratio. 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.

It was observed that a facility person did not wash their hands after a child used the toilet.

Corrected Corrected by Mar 28, 2022

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

3280.94(a)(3) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted during various program activity times.

The fire drill log was observed all fire drills were conducted during the afternoon.

Corrected Corrected by Mar 31, 2022

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.

It was observed that the facility lacked a proof of purchase for the interconnected smoke detection system. The smoke detectors were checked more than 30 days in between July 2021 - September 2021, September 2021 - November 2021, and November 2021 - January 2022.

Corrected Corrected by Mar 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(a)/3280.182(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 must contain initial and subsequent health reports.

The files for children #4 and #5 lacked initial child health reports.

Corrected Corrected by Apr 8, 2022

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