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.

In the infant room, cribs could not be seen from kitchen or changing table. A solid barrier, bookshelf, and large chair were observed to obstruct staff's view of children sleeping in cribs.

Corrected Corrected by Aug 28, 2025

Category: supervision. Marked corrected in the state record.

3270.34(b) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4).

Staff #1 does not have a completed bachelor's or associate's degree on file. Staff #1 does not meet director qualification until a degree is obtained.

Corrected Corrected by Oct 30, 2024

Category: recordkeeping. Marked corrected in the state record.

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

PreK-Counts room a trashcan beside the sink was observed to be missing a lid.

Corrected Corrected by Sep 25, 2024

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

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

In the Toddler 1 room green foam blocks were observed to be peeling and in disrepair.

Corrected Corrected by Sep 25, 2024

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

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

In the toddler 2 room, broken crayons less than an inch in diameter were observed to be accessible to children.

Corrected Corrected by Sep 25, 2024

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.

In the infant room 2 children were observed sleeping in cribs that were not spaced at least 2 feet apart.

Corrected Corrected by Sep 25, 2024

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

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Fire detection testing was completed on 3/1/24 and again on 4/1/24, which is greater than 30 days.

Corrected Corrected by May 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Records for 3 staff members did not contain evidence of a current Pediatric CPR/1st Aid Certification. Staff #1 - 08/30/2021 (exp), Staff #3 - 04/01/2021 (exp), Staff #7 - 04/06/2021 (exp).

Corrected Corrected by Nov 1, 2023

Category: ratio. 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.

Record for Staff #4 was observed to not contain evidence of emergency plan training at time of hire.

Corrected Corrected by Nov 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

File for Staff #6 reflected a gap between certifications in Pediatric 1st Aid/CPR. First was 11/11/2020-2022, the next was 01/09/2023-2025.

Corrected Corrected by Oct 19, 2023

Category: ratio. Marked corrected in the state record.

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

Record for Staff Members #1, #2, #3, #5, #6, #7 did not contain current evaluations.

Corrected Corrected by Nov 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

In classroom 8 (EHS 1) the hands free can was observed to not work properly.

Corrected Corrected by Nov 1, 2023

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

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

In reviewing of staff files, staff person #8's updated Mandated Reporter training was late in obtaining.

Corrected Corrected by Dec 2, 2022

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 person #3 (see LIS code sheet for hire date) did not have a child abuse clearance on file until 6/20/22. Per ACT 12 of 2022 on Provisional Hiring Practices, facility persons must have results of the applicant's PA Child Abuse History Clearance prior to employment.

Corrected Corrected by Nov 28, 2022

Category: background checks. 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.

During the physical site inspection in the Preschool A classroom, the first-aid kit was missing scissors and tweezers.

Corrected Corrected by Nov 12, 2022

Marked corrected in the state record.

3270.124(f) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

In reviewing of children's files, child #1's file did not contain an updated emergency contact form.

Corrected Corrected by Nov 15, 2022

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.

In reviewing of the staff files, staff person #4's contained an updated Health Assessment that was late in obtaining (previous dated 6/19/20; updated dated 10/27/22).

Corrected Corrected by Oct 27, 2022

Category: ratio. 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.

In reviewing the Emergency Plan for the facility, it did not contain accommodations for infants, toddlers, and children with chronic medical conditions.

Corrected Corrected by Dec 2, 2022

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

In reviewing of the paperwork for the facility, there was not documentation of an annual emergency drill being completed.

Corrected Corrected by Dec 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS certified trainer.

In reviewing of staff files, staff person #1 has acceptable pediatric first aid/CPR training in an approved curriculum, however the trainer has not provided documentation that they are PQAS-certified in that training.

Corrected Corrected by Nov 28, 2022

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

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #3 and staff person #7 will have until 12/8/22 to complete the required training. Until such time as the required training has been completed, staff person #3 and staff person #7 must be supervised when interacting with children by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3 and staff person #7, staff person #3 and staff person #7 may not work in a child-care position at the facility.

Staff person #3 and staff person #7 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR.

Corrected Corrected by Nov 28, 2022

Category: supervision. Marked corrected in the state record.

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

In reviewing of staff files, staff person #2, staff person #5, and staff person #6 had completed the Health and Safety Basics course prior to 9/30/2016.

Corrected Corrected by Nov 28, 2022

Category: health medication. 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.

In reviewing of the Emergency Plan, there was not documentation of the plan being sent to the local municipality and county emergency management system.

Corrected Corrected by Dec 2, 2022

Category: physical safety. 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 counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

While in the outdoor play area, child #1 had been following staff person #1 into the shed and kept trying to take toys out. Staff person #1 kept trying to keep child #1 out of the shed. Staff person #1 put a bubble machine away in the shed and allowed another child to get a tissue. Sometime during these 2 trips to the shed, child #1 had gone into the shed without staff person #1 noticing him and the shed door was shut. A short time later, staff person #2 went into the shed to obtain a toy for a fussy child to play with and noticed child #1 in the shed and brought him out.

Corrected Corrected by Sep 12, 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.

While in the outdoor play area, child #1 had been following staff person #1 into the shed and kept trying to take toys out. Staff person #1 kept trying to keep child #1 out of the shed. Staff person #1 put a bubble machine away in the shed and allowed another child to get a tissue. Sometime during these 2 trips to the shed, child #1 had gone into the shed without staff person #1 noticing him and the shed door was shut. A short time later, staff person #2 went into the shed to obtain a toy for a fussy child to play with and noticed child #1 in the shed and brought him out.

Corrected Corrected by Jun 1, 2022

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.

While in the outdoor play area, child #1 had been following staff person #1 into the shed and kept trying to take toys out. Staff person #1 kept trying to keep child #1 out of the shed. Staff person #1 put a bubble machine away in the shed and allowed another child to get a tissue. Sometime during these 2 trips to the shed, child #1 had gone into the shed without staff person #1 noticing him and the shed door was shut. A short time later, staff person #2 went into the shed to obtain a toy for a fussy child to play with and noticed child #1 in the shed and brought him out.

Corrected Corrected by Jun 1, 2022

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding arrangement of classrooms for proper supervision. The legal entity must receive DHS approval of the training content prior to scheduling the training.

On 3/24/22 at 8:42AM, child #1 and child #2, both infants, left the room through a gate that had been popped open unbeknownst to staff person #1 and staff person #2, the two staff in the room at the time of incident. Staff were not physically present with the children for approximately 1 minute and 45 seconds until notified by staff person #3 that child #1 was in the hallway outside of the classroom door. At the same time, staff person #4 had observed child #2 down the hall and was on the way to return the child to the classroom. Staff person #2 took both children and returned them to the classroom. Neither staff person #1 nor staff person #2 would have been able to see the children leaving between the gate and the hallway due to furniture set up in the classroom.

Corrected Corrected by Apr 14, 2022

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. Children must be supervised at all times.

On 3/24/22 at 8:42AM, child #1 and child #2, both infants, left the room through a gate that had been popped open unbeknownst to staff person #1 and staff person #2, the two staff in the room at the time of incident. Staff were not physically present with the children for approximately 1 minute and 45 seconds until notified by staff person #3 that child #1 was in the hallway outside of the classroom door. At the same time, staff person #4 had observed child #2 down the hall and was on the way to return the child to the classroom. Staff person #2 took both children and returned them to the classroom. Neither staff person #1 nor staff person #2 would have been able to see the children leaving between the gate and the hallway due to furniture set up in the classroom.

Corrected Corrected by Apr 14, 2022

Category: supervision. Marked corrected in the state record.

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

On 2/8/22 at 8:30 AM, child #1, known by the facility to have an egg allergy, was accidentally given egg for breakfast by facility person #1, causing the child to have an allergic reaction.

Corrected Corrected by Apr 8, 2022

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.

Facility person #1, hired 9/15/21, did not have emergency plan training until 10/26/21. Emergency plan training was not completed at the time of hire. Facility person #2, hired 9/13/21, did not have emergency plan training on file. Facility person #2 left employment 11/5/21. Facility person #3, hired 8/30/21, did not have emergency plan training on file until 10/26/21. Emergency plan training was not completed at the time of hire.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

On the outdoor play space with the shed, a broken board was observed on the shed.

Corrected Corrected by Jan 13, 2022

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