3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The NSOR on file for staff person #1 expired on 4/8/2025 (dated 4/8/2020) and an updated clearance was not obtained until 6/3/2025. The staff person worked with an expired clearance on file. Staff person #4 had an incomplete state police clearance on file. The form did not include the dissemination date. (CORRECTED ON SITE)

Corrected Corrected by Jul 25, 2025

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

3270.102(e)/3270.103 · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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.

Mulch was observed in an area accessible to the toddlers that were doing water play.

Corrected Corrected by Jul 25, 2025

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

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. A log must include the following information: (iv) The amount of medication administered. (v) The date of administration. (vi) The time of administration. (vii) The initials of the staff person who administered the medication.

Pandas - A medication (albuterol via nebulizer) was on site for child #1. Staff reported administering the medication, but did not record the administration of the medication on the medication log which was in the child's file in the office.

Corrected Corrected by Jul 25, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessments on file for staff persons #2 and #3 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jul 25, 2025

Category: health medication. 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 records for staff persons #5 and #6 each included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Aug 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.32(a) on SIN-00255953 had not been fully implemented. On 12/20/24, facility person 2 has been employed for more than 45 days. The record still did not include a completed NSOR.

Corrected Corrected by Jan 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Koalas- The first aid kit was in an unlocked backpack that was hanging on a low hook within reach of the children. (CORRECTED ON SITE)

Corrected Corrected by Dec 27, 2024

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.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.76 on SIN-00255953 had not been fully implemented. On 12/20/24, the fan was again observed in an area accessible to the children in the Koala room. The barrier of the fan was wide enough for children to put their fingers through to where the blades spin. (CORRECTED ON SITE)

Corrected Corrected by Dec 26, 2024

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.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.77a on SIN-00255953 had not been fully implemented. On 12/20/24, areas of peeling paint were again observed on the walls in the Panda room and in the Ocean Friends room.

Corrected Corrected by Dec 26, 2024

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

3270.183(a)/3270.193(a) · Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet.

The filing cabinet containing child and staff files were unlocked at the time of inspection.

Corrected Corrected by Dec 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Pandas - The first aid kit was in an unlocked backpack that was sitting on the floor within reach of the children. (CORRECTED ON SITE)

Corrected Corrected by Dec 10, 2024

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.

A fan was observed in an area accessible to the children in the Koala room. The barrier of the fan was wide enough for children to put their fingers through to where the blades spin.

Corrected Corrected by Dec 10, 2024

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.

Areas of peeling paint were observed on the walls in the Panda room and in the Ocean Friends room.

Corrected Corrected by Dec 13, 2024

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The disclosure statement on file for staff person 1 was undated. (CORRECTED ON SITE) Facility person 2 has been employed for more than 45 days. The record did not include a completed NSOR.

Corrected Corrected by Dec 10, 2024

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.

An uncovered outlet was observed in the Ocean Friends room. The outlet was within reach of the toddlers that use the space. (CORRECTED ON SITE)

Corrected Corrected by Dec 10, 2024

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 magic eraser was observed on the counter in the Ocean Friends room during two separate visits to the room. (CORRECTED ON SITE)

Corrected Corrected by Dec 10, 2024

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.

Straw (hay) was observed in the sensory table in a toddler room. Pieces were less than an inch in diameter.

Corrected Corrected by Dec 6, 2024

Marked corrected in the state record.

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

The agreements on file for children 6 and 7 did not shall specify the child's arrival and departure times.

Corrected Corrected by Dec 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(c)/3270.181(e) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Koalas - The emergency contact forms located in the go-bag did not include forms for 4 of the children present with the group (children 1-4)

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The updated health report was not obtained timely for child 8 (preschooler). The health reports were dated May of 2023 and more than 12 months later in July of 2024.

Corrected Corrected by Dec 12, 2024

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

3270.131(e)(1)/3270.131(e)(3) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The immunization records on file for children 5, 6, and 8 were not in accordance with the schedule recommended by the ACIP. Child 5 - Documentation of 6 month immunizations past due Child 6 - Documentation of 2nd dose of Hepatitis A past due Child 8 - Documentation of 4th dose of DTAP past due

Corrected Corrected by Dec 17, 2024

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

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Corrected Corrected by Dec 12, 2024

Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

The fire detection system was manually tested on 9/27/24, and subsequently more than 30 days later on 10/31/24.

Corrected Corrected by Dec 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · 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 initial health report on file for child 5 was dated 72 days following the first day of attendance at the facility.

Corrected Corrected by Dec 12, 2024

Category: health medication. 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.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.27(c) on SIN-00243527 had not been fully implemented. On 7/25/24, the facility was unable to provide documentation that staff person 10 had been trained on the emergency plan. The staff person has been employed for more than 90 days.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.31(e)(4)(ii) on SIN-00243527 had not been fully implemented. On 7/25/24, the record for staff person 4 did not include documentation of fire safety training during the previous year.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Director will submit all new staff members' files to certification representative for approval before the staff member is able to start caring for children for a period of 3 months.

The facility did not have files for staff persons 25 and 26 that contained completed child abuse, criminal history, DHS FBI clearance, and NSOR certificate information required under the CPSL and did not contain a copy of a request for the NSOR certificate, the criminal history clearance, nor documentation the facility person had been fingerprinted for the FBI clearance required for provisional hiring under the CPSL. (CORRECTED ON SITE) Records for staff persons 25 and 26 did not include a signed disclosure that was completed with facility staff prior to working at the facility. (CORRECTED) At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.32(a) on SIN-00243527 was not being implemented. The director had not submitted all new staff members files to certification for approval prior to the staff caring for children as specified in the directed plan of correction. Staff #25, 26, and 27 had cared for children at the facility without the files being reviewed and approved.

Corrected Corrected by Oct 31, 2024

Category: background checks. 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.

At least two torn nap mats with foam exposed were observed in the Ocean Friends room.

Corrected Corrected by Jul 30, 2024

Category: physical safety. 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.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.106(a) on SIN-00243527 had not been fully implemented. On 7/25/24, the rest equipment located in the Ocean Friends room was not labeled for the use of a specific child.

Corrected Corrected by Jul 30, 2024

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).

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.123(a)(3) on SIN-00243527 had not been fully implemented. On 7/25/24, the facility did not have documentation that they were providing the families of children 1,5, 6, 8 information about the child's growth and development in the context of the services being provided (via Child Service Reports or any other approved form) at least once every six months.

Corrected Corrected by Aug 12, 2024

Category: recordkeeping. 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.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.124(b)(7) on SIN-00243527 had not been fully implemented. On 7/25/24, the emergency contact information on file for child 5 did not include an address for a listed release person.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. 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.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.124(c) on SIN-00243527 had not been fully implemented. On 7/25/24, the emergency contact binder did not include all of the emergency contact forms for the children that were present with the group.

Corrected Corrected by Aug 9, 2024

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.166(4) on SIN-00243527 had not been fully implemented. On 7/25/24, at least 3 bottles in the infant room were not labeled with the child's name.

Corrected Corrected by Aug 9, 2024

Marked corrected in the state record.

3270.181(c)/3270.181(e) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

The emergency contact forms present in the infant room (Owls) for children 9-12 were past due to be updated. The most recent parent signatures were more than 6 months old.

Corrected Corrected by Aug 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

At the time of inspection, the facility did not have individual records for staff persons 25 and 26. The individuals were serving as staff substitutes from another company. (CORRECTED ON SITE)

Corrected Corrected by Jul 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff person 26 is serving as an AGS at the facility. The staff record did not include documentation of education (HS diploma). At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.192(2)(ii) on SIN-00243527 had not been fully implemented. On 7/25/24, the following staff records did not include the required documentation of experience: The record for staff person 1 did not include sufficient documentation to justify the role she is serving in (AGS). The record included documentation of education, but did not include documentation of 2,500 hours of child care experience. Staff persons 3 and 7 were previously aides at the facility. During the previous year, they were moved to assistant group supervisor positions. Their records did not include documentation of child care experience needed to justify the role they are serving in. The record for staff person 9 did not include sufficient documentation to justify the role she is serving in (AGS). The record included documentation of education (15 college credits in listed fields), but did not include documentation of 1,250 hours of childcare experience. 654 hours of child care experience were documented. The record for staff person 11 did not include sufficient documentation to justify the role she is serving in (AGS). The record included documentation of education, but did not include documentation of 2,500 hours of childcare experience. The record for staff person 12 did not include sufficient documentation to justify the role she is serving in (GS). The record included documentation of education (Associate's Degree in Human Services), but did not include documentation of 2,500 hours of child care experience. The record for staff person 16 did not include sufficient documentation to justify the role she is serving in (AGS). The record did not include documentation of education or of child care experience.

Corrected Corrected by Jul 31, 2024

Category: supervision. 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.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.192(5) on SIN-00243527 had not been fully implemented. On 7/25/24, the record for staff person 13 included only 1 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for staff person 16 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 31, 2024

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.

According to documentation on file at the time of inspection, staff person 7 was trained on the emergency plan in September of 2022, and then more than 12 months later in February of 2024. The facility was unable to provide documentation that staff persons 9 and 13 had been trained on the emergency plan at initial employment (within 90 days). The facility was unable to provide documentation that staff person 10 and 24 have been trained on the emergency plan. The staff persons have been employed for more than 90 days. According to documentation on file at the time of inspection, staff person 22 was last trained on the emergency plan in April of 2023.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The records for staff person 4, and 20 did not include documentation of fire safety training during the previous year. Staff person 7 completed fire safety trainings in March of 2023, and then more than 12 months later in April of 2024. Staff person 22 completed fire safety trainings in September of 2022, and then more than 12 months later in March of 2024. Staff person 24 completed fire safety trainings in December of 2022, and then more than 12 months later in February of 2024.

Corrected Corrected by Jun 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-9) within 90 days of hire. Staff person #13 will have until June 14, 2024 to complete the required training. Until such time as the required training has been completed, staff person #13 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #13, staff person #13 may not work in a child-care position at the facility.

Staff person #13 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.

Corrected Corrected by Jun 14, 2024

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 Persons # 13 and #16 may not work in a child care position at the facility until complete clearances are on file.

According to documentation on file at the time of inspection, when staff person #5 began work in the facility, the staff record did not contain a completed DHS FBI Clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance the day after she started working with children. The clearance is now on file. According to documentation on file at the time of inspection, when staff person #8 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The child abuse clearance was dated 10 days after start date, and the staff person was fingerprinted for the DHS FBI clearance 6 days after start date. Staff person 9 worked beyond a 45 day provisional hire period with incomplete clearances on file. The NSOR was dated 148 days after start date. According to documentation on file at the time of inspection, when staff person #11 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The staff person worked for a period of 4 months with no clearances on file. The staff person left employment at the facility, and was rehired approximately 5 months later with complete clearances on file. According to documentation on file at the time of inspection, when staff person #12 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL. The clearance was dated 7 days after start date. According to documentation on file at the time of inspection, when staff person #13 began work in the facility, the staff record did not contain the applicable out of state clearances as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The clearances are still not on file. Staff person 14 serves in a position that is not eligible for provisional hiring under the CPSL. According to documentation on file at the time of inspection, when staff person #14 began work in the facility, the staff record did not contain a completed NSOR and completed out of state clearances as required under the CPSL. The NSOR was dated 154 days after start date, and the last of the out of state clearances were dated 15 days after start date. The facility failed to send in a rap sheet to the regional office for review. According to documentation on file at the time of inspection, when staff person #15 began work in the facility, the staff record did not contain a completed DHS FBI clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance 227 days after start date and the clearance has since been obtained. According to documentation on file at the time of inspection, when staff person #16 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The state police clearance was dated 5 days after start date, the child abuse clearance was dated 49 days after start date, the DHS FBI clearance was dated 7 days after start date. An NSOR is still not on file. According to documentation on file at the time of inspection, when staff person #19 began work in the facility, the staff record did not contain a completed NSOR as required under the CPSL , nor did it contain a copy of the request for the NSOR as required for provisional hiring under the CPSL. The request was sent a day late, and the clearance has since been obtained.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons # 13 and #16 may not work in a child care position at the facility until complete clearances are on file. Director will submit all new staff members' files to certification representative for approval before the staff member is able to start caring for children for a period of 3 months.

According to documentation on file at the time of inspection, when staff person #5 began work in the facility, the staff record did not contain a completed DHS FBI Clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance the day after she started working with children. The clearance is now on file. According to documentation on file at the time of inspection, when staff person #8 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The child abuse clearance was dated 10 days after start date, and the staff person was fingerprinted for the DHS FBI clearance 6 days after start date. Staff person 9 worked beyond a 45 day provisional hire period with incomplete clearances on file. The NSOR was dated 148 days after start date. According to documentation on file at the time of inspection, when staff person #11 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The staff person worked for a period of 4 months with no clearances on file. The staff person left employment at the facility, and was rehired approximately 5 months later with complete clearances on file. According to documentation on file at the time of inspection, when staff person #12 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL. The clearance was dated 7 days after start date. According to documentation on file at the time of inspection, when staff person #13 began work in the facility, the staff record did not contain the applicable out of state clearances as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The clearances are still not on file. Staff person 14 serves in a position that is not eligible for provisional hiring under the CPSL. According to documentation on file at the time of inspection, when staff person #14 began work in the facility, the staff record did not contain a completed NSOR and completed out of state clearance requests as required under the CPSL. The NSOR was dated 154 days after start date, and the last of the out of state clearances were dated 15 days after start date. The facility failed to send in a rap sheet to the regional office for review. According to documentation on file at the time of inspection, when staff person #15 began work in the facility, the staff record did not contain a completed DHS FBI clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance 227 days after start date and the clearance has since been obtained. According to documentation on file at the time of inspection, when staff person #16 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The state police clearance was dated 5 days after start date, the child abuse clearance was dated 49 days after start date, the DHS FBI clearance was dated 7 days after start date. An NSOR is still not on file. According to documentation on file at the time of inspection, when staff person #19 began work in the facility, the staff record did not contain a completed NSOR as required under the CPSL , nor did it contain a copy of the request for the NSOR as required for provisional hiring under the CPSL. The request was sent a day late, and the clearance has since been obtained.

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 records for staff persons 2, 4, 6, 17, 18 20, 21, and 22 did not include a staff evaluation from the previous 12 months.

Corrected Corrected by Aug 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(a)/3270.103 · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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.

An accessible / unlocked drawer in the Penguin room (young toddlers) contained sunscreen, plastic gloves, plastic bags, mini hair ties, and batteries.

Corrected Corrected by Jun 7, 2024

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.

Penguin room - Sanitizer and disinfectant were observed on the counter in an area accessible to the children in care.

Corrected Corrected by Jun 4, 2024

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 located in the Koalas room was missing tape.

Corrected Corrected by Jun 14, 2024

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.

Infant room - Sharp adult scissors were left out on a high chair tray in an area accessible to mobile infants. (CORRECTED ON SITE)

Corrected Corrected by Jun 21, 2024

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

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

The Bunnies room was not lit by artificial or natural light at naptime. (CORRECTED ON SITE)

Corrected Corrected by Jun 14, 2024

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.

Toy bins in the Bunnies room were dirty. The stuffed animal toy bins in the Owl room were dirty Standing water was observed on the cover of the sand pit on the preschool playground.

Corrected Corrected by Aug 9, 2024

Category: physical safety. 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.

The rest equipment located in the Ocean Friends room was not labeled for the use of a specific child .

Corrected Corrected by Jun 14, 2024

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

A written plan of daily activities was not posted in the Ocean Friends room.

Corrected Corrected by Jun 14, 2024

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

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

An infant was observed sleeping in a swing from 10:06am until 10:15am when the staff person picked the child up to change their diaper.

Corrected Corrected by Jun 14, 2024

Category: health medication. 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 facility did not have documentation that they were providing the families of children 1, 3-8 information about the child's growth and development in the context of the services being provided (via Child Service Reports or any other approved form) at least once every six months.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The emergency contact information on file for child 2 did not include the birth date of the child. (CORRECTED ON SITE)

Corrected Corrected by Jun 3, 2024

Category: recordkeeping. 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 information on file for child 6 did not include the address for the child's physician or source of medical care. (CORRECTED ON SITE)

Corrected Corrected by Jun 3, 2024

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.

The emergency contact information on file for child 2 did not include the work telephone number of the enrolling parent. (CORRECTED ON SITE)

Corrected Corrected by Jun 3, 2024

Category: recordkeeping. 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 information on file for children 2 and 5 did not include addresses for listed release persons.

Corrected Corrected by Jun 3, 2024

Category: recordkeeping. 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 forms located in the Owls room were missing forms for 5 of the children that receive care in the space. Ocean Friends - The emergency contact binder taken to the playground did not include all of the emergency contact forms for the children that were present with the group.

Corrected Corrected by Jun 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Originals of incident reports were on file at the facility.

Corrected Corrected by Jun 21, 2024

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

3270.131(e)(1)/3270.131(e)(3) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The immunizations records on file for child 8 were not in accordance with the schedule recommended by the ACIP. The child has been enrolled for over a year, and the record did not include documentation of the child receiving the Hepatitis A vaccine, nor an appropriate exemption note. The information from the doctor's office stated that the parent refused the vaccine for the child. The child was still enrolled/attending the program at the time of inspection.

Corrected Corrected by Jun 24, 2024

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

3270.151(a)/3270.151(c)(2) · 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. 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 initial health assessment on file for staff person 5 was not dated within the 12 months prior to initial service in the child care setting. The health assessment was dated 3 days after start date. The initial health assessment on file for staff person 11 was not dated within the 12 months prior to initial service in the child care setting. The health assessment was dated 131 days after start date. The initial health assessment on file for staff person 15 was not dated within the 12 months prior to initial service in the child care setting. The health assessment (with TB test results) was dated 14 months prior to initial service and was no longer valid at start date. Staff person 23's health assessment is past due to be updated. The previous health assessment was dated in 4/22 and is no longer valid.

Corrected Corrected by Jun 7, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The adult health assessment on file for staff person 9 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jun 11, 2024

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

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

A staff person in the infant room did not wash her hands before making a bottle, and then used her finger on top of the nipple to block the milk when shaking the bottle. A staff person in the infant room did not wash her hands after the conclusion of a diaper change. The staff person washed her hands in the middle of the diaper changing process, and then proceeded to touch items used during the diaper change (soiled/leaky diaper and paper barrier used during the change) to discard them. Hands were not washed after touching the soiled items.

Corrected Corrected by Jun 11, 2024

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

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

Multiple bottles were not labeled in the infant room.

Corrected Corrected by Jun 14, 2024

Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Updates of emergency contact information and financial agreements were not completed timely during the previous year. Child 1 - Emergency contact information updated 4/2023 and subsequently more than 6 months later in 1/2024. Child 3 - Financial agreement completed in November of 2022 and subsequently more than 6 months later in 10/23. Child 4 - Emergency contact information updated 8/2023 and subsequently more than 6 months later in 4/2024. The financial agreement was last signed more than 6 months ago in October of 2023. Child 8 - The emergency contact information was updated in April of 2023, and then more than 6 months later in April of 2024. The financial agreement was last signed more than 6 months ago in October of 2023.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The record for staff person 1 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience. Staff persons 3 and 7 were previously aides at the facility. During the previous year, they were moved to assistant group supervisor positions. Their records did not include documentation of child care experience needed to justify the role they are serving in. The record for staff person 9 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education (15 college credits in listed fields), but does not include documentation of 1,250 hours of childcare experience. (Includes 654 hours of child care experience) The record for staff person 10 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of childcare experience (2,197 hours on file). The record for staff person 11 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of childcare experience. The record for staff person 12 does not include sufficient documentation to justify the role she is serving in (GS). The record includes documentation of education (AS in Human Services), but does not include documentation of 2,500 hours of child care experience. The record for staff person 15 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience (1,905 hours on file). The record for staff person 16 does not include sufficient documentation to justify the role she is serving in (AGS). The record did not include documentation of education or of child care experience. The record for staff person 19 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience (1,948 hours on file).

Corrected Corrected by Jun 21, 2024

Category: supervision. 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 record for staff person 13 included just 1 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The records for staff persons 15 and 16 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 21, 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. A child care center shall keep the proof and date of purchase of an interconnected fire detection device or system with the facility's fire drill logs.

The facility's proof and date of purchase of the interconnected fire detection device or system was not located with the facility's fire drill logs.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(1) · A director is responsible for administering finances, personnel, maintenance, meal planning and preparation and transportation.

The regulatory non-compliance cited on this inspection summary, on the renewal inspection from 4/17/24 (SIN-00243527), the complaint inspection summary from 4/18/24 (SIN-00242870), the incident investigation from 4/12/24 (SIN-00242443), unannounced monitoring from 4/12/24 (SIN-00242797), the unannounced monitoring from 4/5/24 (SIN-00242522), and the incident investigation from 4/5/24 (SIN-00242260) demonstrate that the facility director is not fulfilling responsibilities and minimum duties (re: personnel) as required per regulation.

Corrected Corrected by Nov 30, 2024

Category: ratio. Marked corrected in the state record.

3270.34(a)(1) · A director is responsible for administering finances, personnel, maintenance, meal planning and preparation and transportation. The legal entity must develop and implement a training, support, and monitoring program that will be completed in-person with the director for a period of 5 months. At minimum, the plan must include training and provide accountability on maintaining staff files, supporting, training and managing personnel in the early childhood setting, understanding and compliance with DHS regulation, and time management. The legal entity must receive DHS approval of the training and monitoring plan prior to start of the training period. The legal entity must submit tracking documentation in a format approved by DHS showing that the director training, support, and monitoring program is being completed. The legal entity will confirm continued compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a bi-weekly basis for a period of five months after DHS approves the documentation format.

The regulatory non-compliance cited on this inspection summary, on the renewal inspection from 4/17/24 (SIN-00243527), the complaint inspection summary from 4/18/24 (SIN-00242870), the incident investigation from 4/12/24 (SIN-00242443), unannounced monitoring from 4/12/24 (SIN-00242797), the unannounced monitoring from 4/5/24 (SIN-00242522), and the incident investigation from 4/5/24 (SIN-00242260) demonstrate that the facility director is not fulfilling responsibilities and minimum duties (re: personnel) as required per regulation.

Corrected Corrected by Nov 8, 2024

Category: ratio. 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.

A child was dropped off into the Foxes room (young toddlers), putting them out of ratio for approximately 1 minute. A single staff person was present with 6 children.

Corrected Corrected by Jun 14, 2024

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.

Staff person throughout the facility were observed repeatedly checking and paying attention to their mobile devices (watches and cell phones) while they were supposed to be watching the children.

Corrected Corrected by Jun 14, 2024

Category: supervision. Marked corrected in the state record.

3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

On 5/17/24, milk labeled "sell by 4/27" was observed in a refrigerator in the Ocean Friends room.

Corrected Corrected by May 31, 2024

Category: ratio. Marked corrected in the state record.

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Staff person 1 used her foot to push child 1 across the floor (approximately 2 feet).

Corrected Corrected by Jun 11, 2024

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

3270.132(a) · If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

On 4/8/24, staff person 1 dropped child 1 (an older toddler) from a standing position and the child hit their face/head off the table. The facility staff messaged the parent in their parent communication app, but failed to make contact with the parent. The facility staff did not make any other efforts to reach the parent (ex. via a phone call) to explain what had happened, nor to express that the child may need emergency medical care.

Corrected Corrected by May 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.132(a) · If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. Facility leadership must complete TA (with an approved Health and Safety Consultant) to revise and implement a policy regarding staff response to head injuries and other medical emergencies, including actions taken when facility staff do not adhere to the policy. Facility leadership will submit the policy to DHS for approval. After the policy is approved by DHS, all staff will be trained on the center policy. All staff must sign and agree to adhere to the center policy. Documentation that all staff were trained and signed the policy must be kept on file at the facility.

On 4/8/24, staff person 1 dropped child 1 (an older toddler) from a standing position and the child hit their face/head off the table. The facility staff messaged the parent in their parent communication app, but failed to make contact with the parent. The facility staff did not make any other efforts to reach the parent (ex. via a phone call) to explain what had happened, nor to express that the child may need emergency medical care.

Corrected Corrected by Aug 2, 2024

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

3270.132(a) · If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. The legal entity must arrange for all facility staff to receive a DHS approved training on responding to head injuries and other medical emergencies (with corresponding TA). The legal entity must receive DHS approval of the training content prior to scheduling the training. Training may not be conducted while children are in care. Documentation of completed training must be submitted to DHS and be kept on file at the facility.

On 4/8/24, staff person 1 dropped child 1 (an older toddler) from a standing position and the child hit their face/head off the table. The facility staff messaged the parent in their parent communication app, but failed to make contact with the parent. The facility staff did not make any other efforts to reach the parent (ex. via a phone call) to explain what had happened, nor to express that the child may need emergency medical care.

Corrected Corrected by Aug 2, 2024

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). When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Young toddlers 1:5; Older toddlers 1:6

On the morning of 4/12/24, 2 staff persons were responsible for caring for 13 mixed aged toddlers.

Corrected Corrected by May 2, 2024

Category: ratio. 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.

Staff present with the toddlers in the gym were unable to identify which staff person was responsible for which specific children.

Corrected Corrected by May 2, 2024

Category: supervision. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

An original incident report was on file for child 1.

Corrected Corrected by May 2, 2024

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

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

Child records were observed to be stored on the director's desk. (CORRECTED ON SITE)

Corrected Corrected by May 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

A PVC pipe toy storage shelf fell over onto child 1 and child 2 when the toddlers climbed onto the shelf, injuring child 1.

Corrected Corrected by Apr 15, 2024

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. 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 persons #1 and #2 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Staff persons #1 and #2 were caring for children unsupervised. Staff persons #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.

Corrected Corrected by Apr 19, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving facility leadership is providing oversight and monitoring of all transitions being done at the facility. 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.

Facility self-reported: On the afternoon of 10/17/23, staff person 1 and staff person 2 left two preschoolers behind on the playground. The staff persons present on the toddler side of the playground discovered the children were left behind approximately 1 to 4 minutes after staff persons 1 and 2 left the playground.

Corrected Corrected by Feb 23, 2024

Category: supervision. 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.

Facility self-reported: On the afternoon of 10/17/23, staff person 1 and staff person 2 left two preschoolers behind on the playground. The staff persons present on the toddler side of the playground discovered the children were left behind approximately 1 to 4 minutes after staff persons 1 and 2 left the playground.

Corrected Corrected by Nov 22, 2023

Category: supervision. Marked corrected in the state record.

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

Facility self-reported: On the afternoon of 10/17/23, staff person 1 and staff person 2 left two preschoolers behind on the playground. The staff persons present on the toddler side of the playground discovered the children were left behind approximately 1 to 4 minutes after staff persons 1 and 2 left the playground.

Corrected Corrected by Feb 23, 2024

Category: supervision. Marked corrected in the state record.

3270.111(c)/3270.113(b) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not use any form of physical punishment, including spanking a child.

The facility self-reported the following incident: Staff person 1 was observed inappropriately moving a preschooler by the arms.

Corrected Corrected by Aug 8, 2023

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

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.

An infant was observed in a pack and play that did not have at least 2 feet of space around 3 sides of the rest equipment. The pack and play was surrounded on all four sides.

Corrected Corrected by Jul 27, 2023

Category: physical safety. 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.

Staff person 1 transitioned a group of 3 preschoolers back to their room. The staff person entered the room with 2 of the children she was responsible for, put the backpack down, and then walked back out to the hallway to call for the 3rd child who was still in the hallway. Staff person 4 was in the hallway at the time and observed the incident. At the time of the complaint investigation, 9 children were present in the Jungle Friends room with staff 2 and 3. Only 8 of the 9 children were accounted for in primary care groups.

Corrected Corrected by Jun 13, 2023

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.

Annual emergency plan training was not documented for staff persons 2 and 3. (CORRECTED ON SITE)

Corrected Corrected by May 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

A complete PA State police clearance was not on file within 45 days of hire for staff person 6. (CORRECTED ON SITE)

Corrected Corrected by May 11, 2023

Category: background checks. 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.

The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of emergency was not displayed conspicuously in the infant room. (CORRECTED ON SITE)

Corrected Corrected by May 11, 2023

Category: transportation. Marked corrected in the state record.

3270.133(1)/3270.133(2) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

A prescription nasal spray was on site for child 1. The spray was not in the original container (with prescription label), nor did the facility have written instructions from the individual who prescribed the medication.

Corrected Corrected by May 11, 2023

Category: ratio. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The following staff health assessment updates were not obtained timely (within 24 months) during the previous year. Staff 1 - 7/20/20 and subsequently 4/27/23 Staff 3 - 3/10/21 and subsequently 4/26/23 Staff 4 - 8/20/20 and subsequently 4/28/23 Staff 5 - 7/15/20 and subsequently 4/27/23

Corrected Corrected by May 11, 2023

Category: ratio. 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.

A child's lunch that included perishable food (hot dogs/rice) was not being refrigerated. (CORRECTED ON SITE)

Corrected Corrected by May 11, 2023

Category: nutrition. 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 most recent letter notifying local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was sent more than 12 months ago (4/2022).

Corrected Corrected by May 22, 2023

Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person 4 has been employed for more than 45 days and the staff record did not include the required NSOR certificate.

Corrected Corrected by Jan 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for staff person 3 did not include a staff health assessment.

Corrected Corrected by Jan 11, 2023

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The record for staff person 1 (aide) did not include documentation of education. The record for staff person 2 (aide) did not include documentation of education, nor documentation of childcare experience.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. 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.

Staff person 1 had just one written nonfamily reference on file.

Corrected Corrected by Jan 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

More than 30 days lapsed between the following manual tests of the fire detection system. 5/18/22 and subsequently 6/28/22 8/9/22 and subsequently 9/20/22

Corrected Corrected by Jan 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff persons 3, 4, 5, and 6 began working in child care positions with incomplete CPSL / clearance paperwork on file. Staff person 3 - State police clearance was dated 1 day after start date (no proof of submission on file). The NSOR was dated 241 days after start date. The staff person continued to work beyond 45 days without compete clearances on file. Staff person 4 - The disclosure on file was dated 8 days after start date. The State police clearance was dated 28 days after start date. The child abuse clearance was dated 29 days after start date. The staff person's record did not include documentation that the clearances were requested prior to start date. Staff 5- Volunteer child abuse and state police clearances were on file at the time of hire. The staff person was observed working alone with children. (Corrected on site) Staff 6 - The NSOR on file was dated 252 days after start date. The staff person continued to work beyond 45 days without compete clearances on file.

Corrected Corrected by May 31, 2022

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.

Staff person 5 was serving as an assistant group supervisor (AGS) at the facility at the time of inspection. The staff person's record did not include sufficient documentation of education and experience to qualify as an AGS.

Corrected Corrected by Jun 2, 2022

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.

The carpets in the Looney Tunes, Jungle Friends, and Dinosaur rooms were visibly soiled / stained.

Corrected Corrected by Jun 4, 2022

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

3270.123(a)(3) · An agreement signed by the operator and the parent must specify the following: 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 on file for child 3 did not specify the services to be provided to the family and the child.

Corrected Corrected by Jun 1, 2022

Category: recordkeeping. 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.

The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the Dinosaurs room.

Corrected Corrected by May 31, 2022

Category: transportation. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The updated health assessment for staff person 1 was not obtained timely. The health assessments on file were dated 8/26/2019 and subsequently 4/9/22. The initial health assessments on file for staff persons 2, 3, and 4 were not dated within the 12 months prior to initial service. The health assessments were obtained after they began working with children.

Corrected Corrected by Jun 1, 2022

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

More than 6 months lapsed between parent updates of financial agreements and emergency contact information on file for children 1-3.

Corrected Corrected by May 31, 2022

Category: recordkeeping. 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.

The facility self reported the following incident: Child 1, an older toddler, was left alone on the playground after staff persons 1 and 2 transitioned back into the building. The child was unsupervised for a period of approximately 5 minutes before the child was found by staff person 3.

Corrected Corrected by Apr 20, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children must be supervised at all times. 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. The two hours of training will not count toward the annual 12 hour training requirement.

The facility self reported the following incident: Child 1, an older toddler, was left alone on the playground after staff persons 1 and 2 transitioned back into the building. The child was unsupervised for a period of approximately 5 minutes before the child was found by staff person 3.

Corrected Corrected by Jul 25, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for completing name to face checkpoints during transitions 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.

The facility self reported the following incident: Child 1, an older toddler, was left alone on the playground after staff persons 1 and 2 transitioned back into the building. The child was unsupervised for a period of approximately 5 minutes before the child was found by staff person 3.

Corrected Corrected by Jul 25, 2022

Category: supervision. Marked corrected in the state record.

3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Fourteen children were present in a room measured for nine on recent Wednesday morning from approximately 8:45-9:15/9:30.

Corrected Corrected by Apr 4, 2022

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

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Staff person 1 recorded a preschool aged child while the child was kicking chairs and appeared to be frustrated. On the 27 second video, the staff person was heard saying, "I'm going to show your mommy and daddy how you're acting."

Corrected Corrected by Apr 4, 2022

Category: background checks. 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.

The facility self-reported the following incident: At approximately 10:00am on Monday, 9/27/2021, staff person 1 was present with a group of children on the playground. While outside, child 1 (2 year old) was able to get a container of Lysol out of the side pocket of the staff person's backpack. By the time the staff person noticed that that the child had the container, the child smelled of Lysol.

Corrected Corrected by Sep 27, 2021

Category: recordkeeping. 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 #1 may not work in a child care position at the facility.

Facility person 1 has been employed by the company since 1/18/21 and transferred to this location when they opened. Her record did not include a FBI clearance.

Corrected Corrected by Aug 3, 2021

Category: background checks. 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.

Hand sanitizer and sanitizer/cleaner were observed in areas accessible to children in the pre-k room. (CORRECTED ON SITE)

Corrected Corrected by Aug 3, 2021

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 nursery did not include tape, tweezers, or scissors. (CORRECTED ON SITE)

Corrected Corrected by Aug 3, 2021

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.

An area rug in the infant room was visibly soiled. (CORRECTED ON SITE)

Corrected Corrected by Aug 3, 2021

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.

The children in the pre-k room were observed looking at books, then using hand-sanitizer before moving to the table for lunch.

Corrected Corrected by Aug 4, 2021

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

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.

Children were observed sleeping/resting on equipment that had less than 2 feet of space on three sides. This was observed in the nursery, PS, and pre-k rooms.

Corrected Corrected by Aug 23, 2021

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

3270.123(a)/3270.123(a)(4) · An agreement shall be signed by the operator and the parent. An agreement shall specify the child's arrival and departure times.

The agreement on file for child 3 did not include arrival & departure times. The form was also not signed by the operator.

Corrected Corrected by Aug 5, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2)/3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.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.

Forms for children 1-4 did not include complete addresses for listed release persons. The form for child 3 also did not include a phone number for a listed release person, nor an address for the child's physician.

Corrected Corrected by Aug 5, 2021

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.

At the time of inspection, the nursery, preschool, and the one year old rooms did not have emergency contact (EC) forms in the room for all of the children that were receiving care in the space.

Corrected Corrected by Aug 23, 2021

Category: recordkeeping. Marked corrected in the state record.

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

A medication log was not on file for a child's inhaler that was in the school-age space.

Corrected Corrected by Aug 3, 2021

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