3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

It was observed that the facility did not have a copy of the most recent inspection summary posted in a conspicuous location used by parents.

Corrected Corrected by May 12, 2026

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.

The playhouse located in the back corner of the outdoor play space had a crack on the roof, making a pinch point with sharp edges.

Corrected Corrected by May 22, 2026

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

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

On 4/1/26 at approximately 10:30am, Staff person #13, an aide, was observed caring for children unsupervised.

Corrected Corrected by Apr 1, 2026

Category: supervision. 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).

On 4/1/26, at approximately 10:30am, Staff person #1 was observed to leave the lower level child care space and escort a preschool age child to the restroom, leaving Staff person #13 out of ratio with 10 children (9 Preschool age children and 1 Older Toddler).

Corrected Corrected by Apr 1, 2026

Category: ratio. 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.

Unlabeled blankets and pillows for naptime were randomly piled together rather than being utilized by a specific child.

Corrected Corrected by Apr 14, 2026

Category: physical safety. 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 was not present in the infant room for Child #1 being cared for in that space. The emergency contact information was not present in the lower level child care room for Child #2 being cared for in that space.

Corrected Corrected by Apr 20, 2026

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.

There was an uncovered outlet in the downstairs restroom near the sink accessible to children ages 5 and under.

Corrected Corrected by Mar 13, 2026

Category: physical safety. 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.

There was Degree antiperspirant and a soap container labeled "Keep out of reach of children" in an unlocked drawer/cabinet under the sink in the downstairs restroom accessible to children.

Corrected Corrected by Mar 25, 2026

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

3RD CITATION: The water temperature at the sink in the infant room was 118°F. The water temperature in the upstairs restroom was 117°F. The water temperature in the downstairs restroom was 116°F. PREVIOUSLY CITED ON 1/21/26 and 2/10/26.

Corrected Corrected by Mar 30, 2026

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.

2ND CITATION: The diaper changing stations in the lower level restroom lacked handwashing sign.

Corrected Corrected by Mar 13, 2026

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 ensure fire drills are conducted at least once every 60 days.

Documentation of the fire drill log showed more than 60 days between fire drills (7/30/25 and 2/2/26).

Corrected Corrected by Mar 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

2nd CITATION: The water temperature at the sink in the infant room was 118°F. PREVIOUSLY CITED ON 1/21/26.

Corrected Corrected by Feb 12, 2026

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.

The diaper changing stations and toilet training seats in the main level restroom and the lower level restroom lacked handwashing signs.

Corrected Corrected by Feb 16, 2026

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

There was a bottle of children's Motrin in a child's lunchbox sitting on a table in the main room accessible to children.

Corrected Corrected by Feb 10, 2026

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

There were several lunchboxes on the table in the main room containing food items that needed to be refrigerated, including a cheese stick, cubes of meat and cheese, and cucumbers.

Corrected Corrected by Feb 10, 2026

Category: nutrition. 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 # 13 lacked one written nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Feb 13, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.70(a) · The indoor temperature shall be at least 65° F.

The temperature in the lower level child care space was 64°F.

Corrected Corrected by Feb 6, 2026

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In the lower level child care space, there was a gap between the register and the wall creating a sharp edge.

Corrected Corrected by Jan 21, 2026

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

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

A portable space heater was observed in the lower level child care space. Staff reported that space heaters have been used while children were in care in the lower level child care space as well as in the infant room.

Corrected Corrected by Jan 21, 2026

Category: physical safety. 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.

3rd CITATION: On 1/21/26, the file for Staff #9 lacked a health assessment. The file for Staff #10 lacked a health assessment with TB screening results. PREVIOUSLY CITED ON 8/1/25 & 10/17/25.

Corrected Corrected by Feb 13, 2026

Category: ratio. 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). Staff Person #10 may not work in a child care position at the facility.

The file for Staff #9 contained a PA Child Abuse clearance dated 12/29/25 which was obtained after they started working in a child care position (See LIS Code Sheet). The file for Staff #10 lacked a DHS FBI clearance and an NSOR certificate.

Corrected Corrected by Feb 13, 2026

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

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

2nd CITATION: On 1/21/26 at approximately 10am, Staff #9, an aide, was caring for 5 preschool children unsupervised in the lower level child care space. PREVIOUSLY CITED ON 10/17/25.

Corrected Corrected by Jan 21, 2026

Category: supervision. 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).

2nd CITATION: On 1/21/26, at approximately 10:05am, in the main room, Staff #8 was supervising 6 Older Toddlers and 1Younger Toddler. No other staff were present in the main room. PREVIOUSLY CITED ON 10/17/25.

Corrected Corrected by Jan 21, 2026

Category: supervision. 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.

There were 6 outlets in the lower level that lacked protective receptacle covers which were accessible to children 5 years of age or younger.

Corrected Corrected by Jan 29, 2026

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

In the bathroom off the main room, and in the bathroom on the lower level, the hot water was 115° F.

Corrected Corrected by Feb 5, 2026

Category: physical safety. 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 most recent fire alarm test was documented on 12/31/25 which was conducted more than 30 days from the previous fire alarm test dated 11/24/25.

Corrected Corrected by Jan 28, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)/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 the critera specified in §3270.95Ia)(1)- (a)(9) are met The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

The most recent documentation on file for conducting a fire drill was dated 7/30/25 which is more than 60 days ago.

Corrected Corrected by Feb 13, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

From approximately 1:00-1:30pm Staff # 4, an aide, was observed caring for 5 children unsupervised in the lower level child care space.

Corrected Corrected by Oct 27, 2025

Category: supervision. 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).

On 10/17/25, at approximately 12:50pm in the Infant Room, one adult, Individual #2, and 6 napping children, 2 Infants, 1 Young Toddler and 3 Older Toddlers, were observed. No other staff were present in the Infant Room. The 6 children were not assigned to a specific Staff person for supervision. On 10/17/25, from approximately 12:50-1:00pm, Child #1 was asleep in a port-a-crib in the Main Child Care Room. No staff was present in the Main Child Care Room. No staff identified Child #1 as part of their supervision group.

Corrected Corrected by Jan 2, 2026

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

On 10/17/25, at approximately 12:50pm in the Infant Room, one adult, Individual #2, and 6 napping children, 2 Infants, 1 Young Toddler and 3 Older Toddlers, were observed. No other staff were present in the Infant Room. The 6 children were not assigned to a specific Staff person for supervision. On 10/17/25, from approximately 12:50-1:00pm, Child #1 was asleep in a port-a-crib in the Main Child Care Room. No staff was present in the Main Child Care Room. No staff identified Child #1 as part of their supervision group.

Corrected Corrected by Jan 2, 2026

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 10/17/25, at approximately 12:50pm in the Infant Room, one adult, Individual #2, and 6 napping children, 2 Infants, 1 Young Toddler and 3 Older Toddlers, were observed. No other staff were present in the Infant Room. The 6 children were not assigned to a specific Staff person for supervision. On 10/17/25, from approximately 12:50-1:00pm, Child #1 was asleep in a port-a-crib in the Main Child Care Room. No staff was present in the Main Child Care Room. No staff identified Child #1 as part of their supervision group.

Corrected Corrected by Jan 2, 2026

Category: supervision. 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.

Continued Non-Compliance: On 8/1/25 a Renewal Inspection was conducted at the facility. The files for Staff #3, #5, and #6 lacked health assessments. The facility's acceptable plan of correction indicated the correction would be implemented by 9/5/25. On 10/17/25 an Unannounced Inspection was conducted. The Health Assessment, dated 10/3/25, submitted to Certification on 10/3/25 for Staff #3 is invalid. The file for Staff #3 contains a valid Heath Assessment dated 10/2/25.

Corrected Corrected by Oct 17, 2025

Category: ratio. Marked corrected in the state record.

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

The staff files were located in an unlocked filing cabinet in an unlocked office space accessible to anyone at the facility.

Corrected Corrected by Oct 20, 2025

Category: recordkeeping. Marked corrected in the state record.

20.71(a)(7) · The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance. TIERED LIS: 1. The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance. This portion of the plan shall have an immediate correction date. 2. For a minimum of 4 months, from the acceptance of the plan of correction, the Legal Entity will require original staff health assessments. Photocopies of staff health assessments will not be accepted. The Director and the staff, who is providing the health assessment, will initial and date the original staff health assessment at the time the staff health assessment is given to the Director. The original, initialed staff health assessments will remain in the staff's file and will be available for review. The legal entity will notify Certification via email when a staff health assessment is received. The correction date for this portion of the plan shall be at minimum 4 months from the date the Department approves the Plan of Correction.

Based on staff statements and documentation, Staff # 1, created a fraudulent Health Assessment dated 10/3/25 for Staff #3's Staff File. Staff #1 submitted the fraudulent Health Assessment via Email to Certification on 10/3/25. The Health Assessment was a correction to a violation received on 8/1/25. On 10/14/25, Armstrong Primary Care Center, confirmed that the Health Assessment dated 10/3/25 was not valid. The CRNP did complete a Health Assessment form for Staff #3 on 10/2/25. On the form the CRNP indicated that the physical was conducted on 11/13/24 and the form signed 10/2/25. The valid Heath Assessment dated 10/2/25 was submitted to the child care on 10/6/25.

Corrected Corrected by Jun 2, 2026

Category: health medication. 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.

The first aid kit in the lower level child care space lacked tweezers and scissors; the first aid kit in the main room lacked tweezers.

Corrected Corrected by Aug 29, 2025

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

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The operator lacked a current copy of the insurance policy on file at the facility.

Corrected Corrected by Aug 23, 2025

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 files for Staff #3, #4, #5, and #6 (See LIS Code Sheet) lacked emergency plan training at the time of initial hire.

Corrected Corrected by Aug 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The parent letter lacked information explaining the emergency procedures for shelter in place and lockdown situations, a method to contact parents when an emergency arises and provide instructions on how to safely reunite with their child(ren), as well as accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 29, 2025

Category: physical safety. 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). Staff Persons #3, #4, #5, and #6 may not work in a child care 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.

The file for Staff #3 lacked an FBI clearance and an NSOR certificate. The file for Staff #4 lacks a PA Child Abuse clearance and an NSOR certificate. The file for Staff #5 lacks a PA Child Abuse clearance and an NSOR certificate. The file for Staff #6 lacked a PA State Criminal clearance, a PA Child Abuse clearance, and an NSOR certificate.

Corrected Corrected by Sep 17, 2025

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for Staff #3, #4, and #5 lacked documentation of staff qualifications for the position in which they are performing.

Corrected Corrected by Sep 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.33(b) · At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

The facility has one director, one assistant group supervisor and three aides.

Corrected Corrected by Sep 17, 2025

Category: supervision. 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.

There were open outlets accessible to children ages 5 and younger in the infant room, in the main room by the sink, and in the lower level room next to the desk, and in the lower level restroom.

Corrected Corrected by Aug 1, 2025

Category: physical safety. 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.

A spray bottle marked "disinfectant" was sitting on a low shelf next to the sink in the bathroom and was accessible to children. There was a spray bottle labeled with a "Mr. Yuck" sticker in the main room on the counter next to the sink that was accessible to children.

Corrected Corrected by Aug 1, 2025

Marked corrected in the state record.

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

There was a bottle of bleach on top of the refrigerator in the kitchen next to a can of cooking spray, bags of marshmallows, and cutlery.

Corrected Corrected by Aug 23, 2025

Category: ratio. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

In the lower level child care room, the first aid kit was in an unlocked desk drawer; in the main child care room, the first aid kit was on the counter next to the sink; in the infant room, the first aid kit was on the lower shelf under the diaper changer; all were accessible to children.

Corrected Corrected by Aug 23, 2025

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

The floor in the lower level restroom had a small puddle of water where the hose from the dehumidifier had leaked creating a slippery surface; the long hose hooked to the dehumidifier in the lower level restroom was curled on the floor creating a tripping hazard; there were 9 holes in the wall in the lower level restroom across from the stalls and a small screw protruding from the same area..

Corrected Corrected by Aug 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.

The water play table in the outdoor play space had sharp pieces of plastic poking out where it was damaged.

Corrected Corrected by Aug 23, 2025

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In the infant room, there was a crumpled up empty plastic bag next to the sink and a container with empty plastic bags hanging on the doorknob and accessible to children still placing objects in their mouths.

Corrected Corrected by Aug 1, 2025

Marked corrected in the state record.

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

The file for Child #5 lacked an agreement form signed by the operator and the parent.

Corrected Corrected by Aug 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · 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 in § 3270.124(f) (relating to emergency contact information).

The agreement forms for Child #1 and Child #3 lacked the services to be provided to the family and child.

Corrected Corrected by Aug 29, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The agreement forms for Child #1, #3, and #4 lacked designated people whom the child may be released to.

Corrected Corrected by Aug 29, 2025

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 agreement forms for Child #2 and #3 lacked dates of admission.

Corrected Corrected by Aug 25, 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 #2 and #4 contained the original agreement forms.

Corrected Corrected by Aug 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for Child #2 lacked the parent's work phone number.

Corrected Corrected by Aug 29, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact forms for Child #2 and #5 lacked written consent by a parent for emergency medical care.

Corrected Corrected by Aug 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.133(3)/3270.133(4) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

An unlabeled bottle of Infant's Mylicon Gas Relief was sitting on top of the microwave in the main child care space and was accessible to children.

Corrected Corrected by Aug 23, 2025

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.

A soiled diaper was left on top of the diaper genie in the main restroom and was not immediately discarded by being placed into a plastic lined, hands-free covered can.

Corrected Corrected by Aug 1, 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 files for Staff #3, #5, and #6 lacked health assessments.

Corrected Corrected by Sep 5, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The files for Staff #4 lacked documentation of TB screening results.

Corrected Corrected by Sep 5, 2025

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

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

There was an unlabeled bottle in the refrigerator containing formula/breast milk. There were also empty unlabeled bottles on the counter.

Corrected Corrected by Aug 25, 2025

Category: nutrition. Marked corrected in the state record.

3270.182(5) · 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 emergency contact form for Child #2 lacked signed parental consent for administration of minor first aid by the facility staff.

Corrected Corrected by Aug 29, 2025

Category: ratio. 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 files for Staff #3,#5, and #6 lacked two written nonfamily references attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Aug 23, 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.

Documentation of the fire alarm system test shows more than 30 days between testing. (6/13/25 and 7/17/25)

Corrected Corrected by Aug 25, 2025

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.

Parents of each enrolled child were not given information on how to access the regulations in this chapter electronically. Parents of each enrolled child were not given instructions for contacting the appropriate regional child care office.

Corrected Corrected by Aug 23, 2025

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.

The facility lacked documentation that the emergency plan and subsequent plan updates were sent to the local municipality and the county emergency management agency.

Corrected Corrected by Aug 26, 2025

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

3270.131(a)/3270.131(e) · 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. 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 #3 and Child #5 will be dismissed from care by close of business 8/1/25 until either the immunization record is updated or a parent provides a written, signed exemption letter.

The files for Child #3 and #5 lacked a health report. The first day of attendance at the facility was 60 days or greater for Child #3 and #5.

Corrected Corrected by Aug 1, 2025

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.

The operator lacked documentation of the notification to local traffic authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the facility.

Corrected Corrected by Aug 26, 2025

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 lacked continuity of operations information as required by Announcement C-22-04 which states to maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for continuity of operations.

Corrected Corrected by Apr 20, 2025

Category: ratio. 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 Shaken Baby and Abusive Head Trauma Policy lacked recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma as well as strategies for coping with a crying, fussing, or distraught child as required by Announcement C-22-03.

Corrected Corrected by Apr 21, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan did not provide a method for contacting parents when an emergency situation arises or informing parents that the emergency has ended and how they can safely reunite with their child(ren).

Corrected Corrected by Apr 21, 2025

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The parent letter lacked information explaining the emergency procedures for evacuation to an alternate location, shelter in place and lockdown information, method to contact parents when an emergency arises and inform parents how to safely reunite with their children, as well as information on accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Apr 21, 2025

Category: physical safety. 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 #--- may not work in a child care position at the facility.

The file for Staff Person #1 (See LIS Code Sheet) lacked a PA Child Abuse Clearance, a PA State Police Clearance, and Out of State Clearances including; State Sex Offender Registry, State Criminal clearance and State Child Abuse clearance, for the state they resided in within the past 5 years.

Corrected Corrected by Apr 21, 2025

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

3270.33(a)/3270.192(2)(iii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. 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 #1, identified as a group supervisor, lacked documentation of their education qualifications.

Corrected Corrected by Apr 15, 2025

Category: supervision. 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.

The electrical receptacles throughout the child care spaces in the facility lacked protective outlet covers.

Corrected Corrected by Apr 11, 2025

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In the lower level restroom, there were drain covers extending out of the floor about 4-inches and water connections protruding from the wall next to the bathroom stalls and hand dryer accessible to children.

Corrected Corrected by Apr 12, 2025

Category: physical safety. 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 lower level classroom, peeling paint was observed on the 4 window ledges.

Corrected Corrected by Apr 11, 2025

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

The first-aid kits in the infant room, active learning space, lower level classroom, and guided learning area contained unlabeled antibiotic ointment and aspirin.

Corrected Corrected by Apr 11, 2025

Category: health medication. 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 infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Apr 21, 2025

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

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations 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's emergency plan lacked accommodations for shelter in place at the facility.

Corrected Corrected by Apr 21, 2025

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.

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

Corrected Corrected by May 15, 2025

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