10 Hour Care Daycare Center Llc

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first-aid and CPR.

Corrected by Apr 23, 2026

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of 4.4.25.

Corrected by May 29, 2025

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3270.131(d)(5)/3270.131(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.

Upon inspection of children's records, it was found that Child #1 and Child #2 were each missing one dose [out of four] of the Pneumococcal vaccination, as required by the ACIP. No valid exemption was on file for either child.

Corrected by Jul 3, 2025

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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.

Upon inspection of personnel records, it was found that the health assessment on file for Staff Person #1 was dated 2.20.23 [expired 2.28.25].

Corrected by May 19, 2025

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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.

Upon inspection of facility fire safety records, it was found that the facility had on file a fire detection system inspection report dated 3.7.25 from Monitronics which did not include passable inspection results related to the alert system [i.e., horns, strobes, sirens, etc] within the childcare portion of the building.

Corrected by Jul 25, 2025

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3270.106(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.

Upon inspection of each childcare space, it was observed in the infant room that one crib was in use with a sleeping child with 2 feet of space on only two sides.

Corrected by Jul 25, 2024

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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.

Upon inspection of each childcare space, it was observed that Staff Person #2 was working unsupervised with children and did not have the required Health and Safety Training Topics completed and on file.

Corrected by Jun 4, 2024

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3270.21/3270.66(a) · Conditions at the facility may not pose a threat to the health or safety of the children. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Upon completion of the inspection of the physical site, it was found that a utility closet with hazardous/cleaning products [marked 'keep locked'] in the entry area near child restrooms was closed but unlocked. In addition, it was found that a bleach solution in a spray bottle was accessible to children in the bathroom of the Preschool 2 childcare space.

Corrected by Jun 28, 2024

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3270.21/3270.76 · Conditions at the facility may not pose a threat to the health or safety of the children. 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.

Upon inspection of the physical site area and equipment for each childcare space, it was found that there were multiple electrical outlets in the Preschool 2 childcare space that were broken and/or improperly attached to the wall.

Corrected by Jun 28, 2024

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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.

Upon inspection of the parental letter regarding the facility emergency plan on file, it was found that the procedures for communication were not included.

Corrected by Jul 22, 2024

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2 will have until 6.18.24 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): revised 10-hour Health and Safety Training Topics [6-hour Health and Safety Training Basics dated 8.23.16 was on file].

Corrected by Jun 4, 2024

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Upon inspection of the physical site area and equipment for each childcare space, it was found that there were multiple areas of chipped/peeled paint in the Preschool 2 childcare space.

Corrected by Jul 12, 2024

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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.

Upon inspection of the physical site area and equipment for each childcare space, it was found that there was a broken basket with sharp edges in the Preschool space.

Corrected by Jun 3, 2024

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Upon inspection of the physical site area and equipment for each childcare space, it was found that there was no thermometer in the infant space thermometer.

Corrected by Jun 3, 2024

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3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Upon inspection of the children's files, it was found that the document on file representing a health assessment [i.e., visit summary] did not include a signature and the individual's professional title of the individual completing the assessment for Child #2 #3 [initial] and #4.

Corrected by Jul 19, 2024

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3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Upon inspection of children's records, it was found that Child #2 was missing 2/4 doses of Pneumococcal vaccine and 1/3 doses of Polio vaccine. It was also found that Child #3 was missing 1/3 doses of HIB vaccine and 1/4 doses of Pneumococcal vaccine. Finally, it was found that Child #5 was missing an entire vaccination record.

Corrected by Jul 22, 2024

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3270.131(d)(7) · A health report shall include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Upon inspection of children's files, it was found that Child #2 - #5 had only visit summaries on file that lacked a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected by Jul 22, 2024

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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.

Upon inspection of the physical site area and equipment for each childcare space, it was found that there was prescription medication accessible to children in care, in a backpack found in the cubby area of the older toddler space.

Corrected by Jul 3, 2024

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3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Upon inspection of each childcare space, it was found that medication for child #1 was present in the Preschool 2 childcare space and had been used, but no medication log was present in the documentation inspected.

Corrected by Jun 3, 2024

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3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Upon completion of staff childcare duties in each childcare space, it was observed that Staff Person #1 did change several children's diapers without properly washing each child's hands afterwards.

Corrected by Jun 3, 2024

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3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Upon completion of staff childcare duties in each childcare space, it was observed that Staff Person #1 did change several children's diapers without properly washing their own hands afterward each child.

Corrected by Jul 12, 2024

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

It was found that a written statement giving the formula and feeding schedule for each infant was not present in the infant childcare space.

Corrected by Jul 22, 2024

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

It was found that the feeding bottles being used in the infant childcare space were not labeled with each child's name prior to or after use.

Corrected by Jul 22, 2024

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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.

Upon inspection of the facility emergency plan, it was found that the written plan on file did not contain specifics concerning the children's life-saving medications that were present at the facility and their necessary accommodations.

Corrected by Jul 22, 2024

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Upon inspection of the facility fire drill logs, it was found that the following drill log entries exceeded the maximum of 60 days between required drills: 4.5.23-6.23.23 [79d]; 6.23.23 -- 8.31.23 [69d].

Corrected by Jul 11, 2024

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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 childcare facility.

Upon inspection of the facility's required documents, it was found that local traffic safety authorities had not been advised in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility within the past one year.

Corrected by Jun 26, 2024

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Upon inspection of the facility personnel records, it was found that fire safety training was overdue for staff person #3 [12.29.21] AND staff person #5 [no documentation of training].

Corrected by Jun 14, 2023

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #4 will have until 6.20.23 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training.

Corrected by Jul 21, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #4 will have until 6.20.23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #4, staff person/facility person/volunteer #4 may not work in a child-care position at the facility.

Staff person #4 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by May 29, 2023

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Upon inspection of the facility personnel records, it was found that written evaluations for the following personnel exceeded one year: staff person #1, #2, #3 and #5.

Corrected by Aug 4, 2023

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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.

Upon inspection of the physical site, it was found that the first aid kit in the preschool aged room was missing adhesive bandages.

Corrected by Jun 1, 2023

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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.

Upon inspection of the physical site area, it was found that ceiling tiles were damaged in the preschool aged #1 and infant spaces, as well as the male and female restrooms.

Corrected by Aug 4, 2023

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Upon inspection of the physical site areas, it was found that there was broken/exposed drywall in the preschool aged #2 room, wall opposite of the entry door.

Corrected by Aug 4, 2023

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Upon inspection of the physical site areas, it was found that the waste receptacles in the Preschool aged #2 space were not lidded.

Corrected by Aug 4, 2023

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3270.131(e)/3270.131(e)(2)(i) · 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Upon inspection of the children's files, it was found that child #1 was missing vaccination documentation for influenza, Hepatitis A and Varicella AND child #2 was missing vaccination documentation for the fourth dose of the Pneumococcal immunization. No valid exemptions were on file for either child.

Corrected by Aug 4, 2023

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3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Upon inspection of the physical site, it was found that multiple children's emergency contact documents in the preschool aged #1 and #2 spaces were out of date and did not match the facility master records.

Corrected by Jul 21, 2023

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Upon inspection of the facility fire safety records, it was found that there was a drill gap between 12.13.22 and 4.4.23 [Emergency drill was completed], with no required fire drill documented.

Corrected by May 10, 2023

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Upon inspection of the facility personnel files, it was found that staff person #5 did not have 12 clock hours of childcare training documented.

Corrected by Jul 21, 2023

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times.

During an inspection of required facility child tracking forms, it was found that the facility was out of regulatory ratio in the toddler 1 room on 5.20.22 from 1300-1500. During that time, there was one facility person with between 7-10 children.

Corrected by May 20, 2022

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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.

Upon inspection of facility persons files, it was found that facility person #1 had taken the Health and Safety Basics course on 4.11.19 without updating to the required course by 4.29.22.

Corrected by May 15, 2022

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the physical site inspection, it was observed that there was damage drywall/paint in the large indoor play space [under the alligator], the men's bathroom used by children [near the toilet] and toddler room [near the entry way].

Corrected by Jun 24, 2022

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3270.106(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.

During the physical site inspection, it was observed that an infant age child was placed into a crib which had at least 2 feet of space on only one side.

Corrected by May 18, 2022

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3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Upon inspection of the children's files, it was found that the health assessment for child #5 was not signed, with individual's professional title.

Corrected by Jul 8, 2022

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3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Upon inspection of the children's files, it was found that the health assessment for child #2 and #5 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Jul 8, 2022

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3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During physical site inspection, it was observed that an infant was changed and returned to play space without having hands washed, and it was noted that the sink in the toddler room was not operational and the staff indicated that the child's hands were being wiped with a disposable wipes.

Corrected by Jun 24, 2022

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3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During physical site inspection, it was observed that an infant was changed and the staff did not wash their hands. Further, due to the sink not being operational in the toddler space, the staff indicated that they were using hand sanitizer in place of hand washing during diaper changes.

Corrected by Jun 24, 2022

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

During a inspection of the physical site, it was observed in the 2 year old child care space that a full bottle was present on a lower level of the cubby without identification or refrigeration.

Corrected by May 18, 2022

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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.

Upon inspection of the facility posted documents, it was found that the last notification to local traffic safety authorities was made on 5.12.21.

Corrected by May 17, 2022

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3270.113(a)/3270.113(a)(1) · 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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. 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.

Staff Persons #1 and #2 left a sleeping toddler [child #1] in the napping classroom for approximately 1-1.5 minutes without adult supervision before it was discovered.

Corrected by Jun 17, 2022

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3270.113(a)/3270.113(a)(1) · 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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Staff Persons #1 and #2 left a sleeping toddler [child #1] in the napping classroom for approximately 1-1.5 minutes without adult supervision before it was discovered.

Corrected by Mar 22, 2022

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3270.113(a)/3270.113(a)(1) · 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. Children must be supervised at all times.

Staff Persons #1 and #2 left a sleeping toddler [child #1] in the napping classroom for approximately 1-1.5 minutes without adult supervision before it was discovered.

Corrected by Mar 23, 2022

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Upon inspection of the facility's fire drill logs, it was found that fire drills were conducted on 9.30.21, 10.14.21 and none thereafter. Consequently, it is found that greater than 60 days has elapsed since the last fire drill.

Corrected by Feb 1, 2022

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