3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During the renewal inspection on 12/10/25, the emergency contact forms used by the facility did not include the name address and telephone number of the child's physician or source of medical care. An acceptable plan of corrections was submitted that stated "All current emergency contact forms have been updated to include the name, address, and telephone number of each child's physician or source of medical care. The forms for Child #1, #2, #3, #4, and #5 have been completed and are now on file at the facility. The operator will ensure that all new and existing emergency contact forms include complete physician information prior to a child's attendance. Staff will review each form at enrollment and update it whenever changes occur. The director will periodically audit emergency contact forms to ensure ongoing compliance." The correction date provided was 12/18/25. On 1/12/26 during an unannounced verification visit, the emergency contacts had not been updated. Subsequent submissions of the forms showed that the emergency contact for child #2 did not include the physician's address. The emergency contact for child #5 did not include the physician's phone number.

Corrected Corrected by Feb 10, 2026

Category: health medication. 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 information for child #2, #4, and #5 did not include consent for emergency medical care.

Corrected Corrected by Feb 10, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection on 12/10/25, the emergency contact forms used by the facility did not include health insurance information. There was no health insurance information on file for children whose files were reviewed. An acceptable plan of correction was submitted that stated "All current emergency contact forms have been updated to include health insurance coverage and policy number for each child. The forms for Child #1, #2, #3, #4, and #5 now include this information and are on file at the facility. The operator will ensure that all new and existing emergency contact forms include health insurance coverage and policy numbers for each child prior to attendance. Staff will review and update forms as needed whenever changes occur. The director will periodically audit emergency contact forms to ensure ongoing compliance." The correction date provided was 12/18/25. On 1/12/26 during an unannounced verification visit, the emergency contacts had not been updated. Subsequent submission of the forms showed that the emergency contact information for child #5 did not include the health insurance information and policy number.

Corrected Corrected by Feb 10, 2026

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form for child #5 does not include the address of the release persons.

Corrected Corrected by Feb 10, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.182(5)/3270.182(6) · 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. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

During the renewal inspection on 12/10/25, the emergency contact forms used by the facility did not include parental consent for the administration of minor first aid by the facility, or consent for walking excursions. Staff #2 stated that they had walked the children to the local library. A plan of correction was submitted that stated "All current emergency contact forms have been updated to include parental consent for the administration of minor first aid by facility staff and consent for walking excursions. Signed consent forms have been obtained for Child #1, #2, #3, #4, and #5 and are now on file at the facility. The operator will ensure that all new and existing emergency contact forms include parental consent for minor first aid and walking excursions prior to a child's attendance. Staff will review forms at enrollment and update them whenever changes occur. The director will periodically audit records to ensure ongoing compliance." The correction date was 12/18/25. On 1/12/26 during an unannounced verification visit, the forms had not been updated. A subsequent submission of the forms revealed that there were no parental consents for child #2, #4. Child #5 only had consent for transportation and walking excursions.

Corrected Corrected by Feb 10, 2026

Category: ratio. Marked corrected in the state record.

3270.36(b) · An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5).

As of the renewal inspection on 12/10/25, there was insufficient documentation to qualify staff #1 as an Assistant Group Supervisor. An acceptable plan of corrections was submitted that stated "Documentation for Staff #1's qualifications has been reviewed and updated to ensure compliance with § 3270.36(b)(1-5) requirements for an Assistant Group Supervisor. Records verifying the required education, training, and experience are now on file at the facility. The operator will ensure that all staff serving as Assistant Group Supervisors meet the qualifications specified in § 3270.36(b)(1-5). Staff records will be reviewed upon hire and annually thereafter to verify qualifications, and documentation will be maintained on file to ensure ongoing compliance." The correction date was 12/18/25. On 1/12/26 during a follow up inspection at the facility, the documentation to qualify staff #1 as an AGS was still not on file. Subsequent documentation submitted still did not include information to qualify staff #1 as an AGS.

Corrected Corrected by Feb 10, 2026

Category: supervision. 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.

As of the renewal inspection on 12/10/25, there was no documentation that staff had been trained in the emergency plan.

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection, the hot water in the girl's bathroom measured 118 degrees.

Corrected Corrected by Dec 18, 2025

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

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

There was no written plan of daily activities posted in any of the classroom spaces.

Corrected Corrected by Dec 18, 2025

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

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. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity shall develop a written policy to ensure proper supervision at all times. The plan must specifically state that staff will be able to see, hear, direct and assess all children at all times, and be physically present with them. The plan must also include how staff will be assigned the responsibility for specific children. The plan shall be submitted to the Northeast Regional Office for approval. Once approved, it must be shared with all staff and signed documentation of the plan must be maintained in the staff files. The operator shall provide a date by when this portion of the plan will be corrected.

During the renewal inspection on 12/10/25, children were consistently being left in areas of the open space facility unsupervised by staff. Child #4 was sleeping unsupervised in a space in the back and could not be directly seen by any staff. Child #2 was left unsupervised in another space. A school age child was also left unsupervised in the front space.

Corrected Corrected by Jan 5, 2026

Category: supervision. Marked corrected in the state record.

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

The agreement forms used by the facility did not include the operator's signature. There was no operator signature on the agreement forms for child #1, #2, #3, #4, or #5.

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement forms used by the facility did not include the amount of the fee to be charged. There was no fee listed on the agreement forms for child #1, #2, #3, #4 or #5.

Corrected Corrected by Dec 18, 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 used by the facility did not include 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 agreement forms for child #1, #2, #3, #4, and #5 were missing the services to be provided.

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement forms used by the facility did not specify the child's arrival and departure times. There were no arrival and departure times specified for child #1, #2, #3, #4, and #5.

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The agreement forms used by the facility did not include the date of the child's admission. The agreement forms of child #1, #2, #3, #4, and #5 were missing admission dates.

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.171(b)/3270.171(c) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

As of the renewal inspection on 12/10/25, there was no documentation that safe pedestrian crossways, pick-up and drop-off points and bike routes had been appropriately determined in the vicinity of the facility and communicated to the children and parents in writing, and no written notification of safe routes was posted by the operator at a conspicuous location in the child care facility.

Corrected Corrected by Dec 18, 2025

Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact forms used by the facility did not include the name address and telephone number of the child's physician or source of medical care. There was no physician information for child #1, #2, #3, #4, #5 on the emergency contact forms.

Corrected Corrected by Dec 18, 2025

Category: health medication. 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.

There was no work address or phone number of the enrolling parent present in the emergency contact information for child #1 and #3.

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact forms used by the facility did not include health insurance information. There was no health insurance information on file for child #1, #2, #3, #4 or #5.

Corrected Corrected by Dec 18, 2025

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

As of the renewal inspection on 12/10/25, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every child care space.

Corrected Corrected by Dec 18, 2025

Category: transportation. Marked corrected in the state record.

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 the renewal inspection on 12/10/25, staff #1 changed the diaper of child #4 and only used a diaper wipe to clean the child's hands.

Corrected Corrected by Dec 18, 2025

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

3270.182(5)/3270.182(6) · 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. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The emergency contact forms used by the facility did not include parental consent for the administration of minor first aid by the facility, or consent for walking excursions. Staff #2 stated that they had walked the children to the local library. There was no parental consent for administration of minor first aid and walking excursions for child #1, #2, #3, #4, and #5.

Corrected Corrected by Dec 18, 2025

Category: ratio. 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.

As of the renewal inspection on 12/10/25, no fire drills had been recorded.

Corrected Corrected by Dec 18, 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.

As of the renewal inspection on 12/10/25, there was no documentation of alarm testing being done.

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. 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.

As of the renewal inspection on 12/10/25, there was no documentation that the emergency plan had been sent to the local municipality or the county.

Corrected Corrected by Dec 18, 2025

Category: physical safety. 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.

As of the renewal inspection on 12/10/25, there was no documentation that the operator had notified local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Dec 18, 2025

Marked corrected in the state record.

3270.36(b) · An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5).

As of the renewal inspection on 12/10/25, there was insufficient documentation to qualify staff #1 as an Assistant Group Supervisor.

Corrected Corrected by Dec 18, 2025

Category: supervision. Marked corrected in the state record.

3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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.

On 9/4/25 during the initial inspection, the outdoor play space was open to the parking lot creating an unsafe condition and requiring a barrier. The fence along the back of the play space was in disrepair, there was trash along the back of the fence, there was a portion of wood fencing leaning against the trees along the side of the yard, there was an uncovered hole approximately 5" in diameter in the middle of the play yard, and the wood beams/railroad ties separating the grass portion of the play yard from the portion of the yard with wood chips was splintering in several areas.

Corrected Corrected by Sep 10, 2025

Category: physical safety. 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.

On 9/4/25 during the initial inspection, the emergency plan did not address accommodations for infants, toddlers, children with special needs, or children with chronic medical conditions.

Corrected Corrected by Sep 8, 2025

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