3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Based on facility person statements, it was determined that Facility Persons #1 and #2, who serve as volunteers and do not qualify as staff persons, were present at the facility on more than one occasion, with more than two children in care from 5:30 p.m. to 6:00 p.m., without at least one qualified staff person present.

Corrected Corrected by Feb 13, 2026

Category: recordkeeping. 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. Tiered LIS: 1. Children must be supervised by a staff person at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity shall work with the ELRC to coordinate a minimum of 2-hour training for all staff related to supervision requirements. All staff, including directors, shall attend to ensure a clear and consistent understanding of regulatory expectations. Training shall include maintaining supervision of children at all times and clarification that volunteers do not qualify as staff persons and may not be left alone supervising children. A qualified staff person must be present and responsible for supervision at all times when children are in care, including during classroom activities, transitions, drop-off, pick-up, and closing. The training may count towards the mandated 12-hour annual childcare training requirements. The training shall be conducted within 2 months of the approval of this plan of correction, in coordination with the ELRC. Documentation of the training, including attendance, shall be maintained on site. The legal entity shall submit documentation of completion for all facility persons to the Western Regional Office within 5 business days of completion. The operator shall provide a date by which the training will be completed.

Based on facility person statements and review of facility records, it was determined that Facility Persons #1 and #2, who serve as volunteers and do not qualify as staff persons, were alone and unsupervised on more than one occasion, with infants, toddlers, preschool-age children, and school-age children from 5:30 p.m. to 6:00 p.m. without a qualified staff person physically present to provide supervision. At approximately 3:45 p.m., the Certification Representative was present in the facility's front lobby area and observed Facility Person #1, who serves as a volunteer and does not qualify as a staff person, enter the lobby while carrying Child #1 (infant-age). Facility Person #1 brought the child to the child's parent, who was standing between the double doors at the main entrance of the facility. At the time of the observation, Facility Person #1 was alone with the child and was not supervised by a qualified staff person.

Corrected Corrected by Feb 13, 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.

Based on facility person statements and review of facility records, it was determined that Facility Persons #1 and #2, who serve as volunteers and do not qualify as staff persons, were alone and unsupervised on more than one occasion, with infants, toddlers, preschool-age children, and school-age children from 5:30 p.m. to 6:00 p.m. without a qualified staff person assigned and physically present to provide supervision. At approximately 3:45 p.m., the Certification Representative was present in the facility's front lobby area and observed Facility Person #1, who serves as a volunteer and does not qualify as a staff person, enter the lobby while carrying Child #1 (infant-age). Facility Person #1 brought the child to the child's parent, who was standing between the double doors at the main entrance of the facility. At the time of the observation, Facility Person #1 was alone with Child #1 without a qualified staff person assigned and physically present to provide supervision.

Corrected Corrected by Feb 13, 2026

Category: supervision. Marked corrected in the state record.

3270.31(a) · A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person.

Based on facility person statements and review of documentation confirming volunteer status, it was determined that Facility Persons #1 and #2, who serve as volunteers and do not qualify as staff persons, were alone and unsupervised on multiple occasions, with infants, toddlers, preschool-age children, and school-age children from 5:30 p.m. to 6:00 p.m. without a qualified staff person physically present. At approximately 3:45 p.m., the Certification Representative observed Facility Person #1, who serves as a volunteer and does not qualify as a staff person, enter the front lobby/entrance area carrying Child #1 (infant-age). No qualified staff person was physically present to provide supervision as Facility Person #1 approached the child's parent, who was standing between the double doors at the main entrance.

Corrected Corrected by Feb 13, 2026

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #6 may not work in a child care position at the facility.

The file for Facility Person #6 lacked a complete NSOR Certificate prior to starting in their position at the facility. The NSOR Certificates on file for Staff Person's #1, #2, #3, #4 and #5 exceeded 60 months between update. The NSOR Certificates on file for Staff Person #1, #2 and #5 were dated 6.18.20 and 6.25.25. The NSOR Certificates on file for Staff Person #3 were dated 2.7.20 and 2.11.25. The NSOR Certificates on file for Staff Person #4 were dated 6.18.20 and 6.24.25.

Corrected Corrected by Nov 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The wood mulch under the swing set and embedded climbing structure in the back play space area and the wood mulch around the embedded climbing structure in the front play space area were measured at 6 inches of wood mulch. The requirement for wood mulch is 9 inches.

Corrected Corrected by Nov 28, 2025

Category: physical safety. 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 developmental assessments on file for Children #1 and #2 were not completed on a Department approved form.

Corrected Corrected by Nov 19, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

At approximately 9:25am Staff Person #1 answered the front door for a Parent and Certification Rep. Upon entrance to Classroom #1, Cert Rep observed Staff Person #2 to be caring for 10 older toddlers. Staff Person #2 reported that Staff Person #1 was in the room with them prior to leaving to answer the front door. Staff Person #1 had left Staff Person #2 out of ratio when they left to answer the front door. At approximately 9:32am Certification Rep observed Child #1 alone in the front lobby/entrance area. A Staff Person was not present with the child to meet the required Staff:Child ratio.

Corrected Corrected by Sep 29, 2025

Category: ratio. 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.

At approximately 9:32am Certification Rep observed Child #1 alone in the front lobby/entrance area. A Staff Person was not present to see, hear, direct and assess Child #1.

Corrected Corrected by Sep 29, 2025

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.

At approximately 9:32am Certification Rep observed Child #1 alone in the front lobby/entrance area. A Staff Person was not physically present with the Child #1.

Corrected Corrected by Sep 29, 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.

A power strip in Classroom #5 was observed to be missing two protective receptacle covers.

Corrected Corrected by Nov 4, 2024

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 facility lacked verification that they had submitted their annual traffic letter to their local safety authorities. The most recent letter was dated January 2023.

Corrected Corrected by Nov 4, 2024

Marked corrected in the state record.

3270.23 · A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Based on conversations with staff, parents of children in care are not permitted inside of the facility whenever children are in care.

Corrected Corrected by Aug 7, 2024

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.

The facility did not have documentation of testing the fire detection system within the last 30 days. The most recent documentation on file was dated 5/3/24.

Corrected Corrected by Aug 7, 2024

Category: recordkeeping. 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 lacked a policy on the Prevention of Shaken Baby and Abusive Head Trauma.

Corrected Corrected by Nov 3, 2023

Category: ratio. 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 hand sanitizer dispenser was observed on the wall in the upstairs Preschool Classroom. The dispenser was accessible to preschool children receiving care in the classroom.

Corrected Corrected by Nov 1, 2023

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 first-floor preschool classroom was missing gauze.

Corrected Corrected by Nov 1, 2023

Category: health medication. 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.

An emergency contact form was missing for a child receiving care in the first-floor Preschool classroom.

Corrected Corrected by Nov 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.135(c) · The diapering area may not be used for food preparation or food service.

The sink being used to wash hands after diapering children in the Toddler Classroom is also used for food preparation.

Corrected Corrected by Nov 16, 2023

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 tuberculosis screening on file for Facility Person #1 was not read prior to starting in a child care taking position. The tuberculosis screening was read one day after starting at the facility.

Corrected Corrected by Nov 1, 2023

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

3270.17(b) · The operator shall permit an adult individual who provides specialized services to a child with special needs to provide those services on the facility premises as specified in the child's IEP, IFSP or written behavioral plan.

The facility denied a parents request to allow Child #1 to receive prescribed therapeutic services on a day that the child was scheduled to be in care for a full day at the facility. These services typically occur at the child's school, but the school was closed on the day that the parent was requesting they allow the services to come to the facility.

Corrected Corrected by Jan 17, 2023

Category: physical safety. 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 emergency plan lacked continuity of operation as required by Federal regulation.

Corrected Corrected by Nov 16, 2022

Category: ratio. Marked corrected in the state record.

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

The file for Staff Person #3 lacked a current disclosure statement. The signed disclosure statement on file lacked information that is required in the current version of the disclosure statement.

Corrected Corrected by Nov 16, 2022

Category: recordkeeping. 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.

In classroom #1, where older toddler children were receiving care, one unlabeled sleeping bag was observed.

Corrected Corrected by Nov 16, 2022

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

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement form on file for Child #1 lacked the admission date.

Corrected Corrected by Nov 16, 2022

Category: recordkeeping. Marked corrected in the state record.

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

A written statement giving the formula and feeding schedule for an infant in care was not present at the time of the inspection.

Corrected Corrected by Nov 16, 2022

Category: nutrition. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The information on how to access the current regulations was not posted in a conspicuous location. The regulations posted were not the current regulations.

Corrected Corrected by Nov 21, 2022

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.

Verification that the facility had submitted the emergency plan to the county emergency management agency was not available at the time of the inspection.

Corrected Corrected by Nov 17, 2022

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

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

The files for Staff Person's #1 and #2 lacked 6 of their 12 hours of annual training in their respective training year.

Corrected Corrected by Nov 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #2 contained Mandated Reporter Training dates of 6-17-2015 and 6-25-2020 which exceeds the mandatory training date of 6-17-2020.. The file for staff #3 contained Mandated Reporter Training dates of 5-1-2015 and 5-23-2020 which exceeded the mandatory training date of 5-1-2020. The file for staff #4 contained Mandated reporter Training dates of 6-17-2015 and 9-15-2020 which exceeds the mandatory training date of 6-17-2020.

Corrected Corrected by Nov 23, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff #1 and staff #5 contained a staff evaluation dated 1-10-2020 and 1-11-2021 which exceeded the annual staff evaluation date of 1-10-2021.

Corrected Corrected by Nov 23, 2021

Category: recordkeeping. 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).

Staff #6 who was located in the 1st Floor Room 1 had a group of five 2 year old's and one 1 year old which exceeded the ratio of 1:5 allowed while supervising a group that includes young toddlers.

Corrected Corrected by Nov 23, 2021

Category: supervision. 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 fenced school age playspace, there were multiple sharp loose ties all along the fence and in the front of the fence two areas were protruding forward with loose sharp metal ties which could cause an injury to a child. On the right side of the fence, there were two large holes in the fence creating a safety hazard.

Corrected Corrected by Nov 24, 2021

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

In the upstairs blue bathroom, there were two toilets with missing bolt covers on the left and right sides of the base of the toilets. In the downstairs boys/girls bathroom, there were two toilets with missing bolt covers on the left and right sides of the base of the toilets..

Corrected Corrected by Nov 23, 2021

Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the fenced preschool playspace, a wooden playhouse had two sharp areas underneath the sliding board which could cause an injury or a splinter to occur to a child.

Corrected Corrected by Nov 23, 2021

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