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.

Waddlers and Crickets - Food, hair, and visible dirt was observed underneath the mats on the changing tables. (CORRECTED ON SITE)

Corrected Corrected by Sep 5, 2025

Category: nutrition. 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 mandated reporter training on file for staff person #1 expired on 6/19/25 (dated 6/19/2020), and an updated training was not completed until 6/25/25. Upon beginning work in the facility, the record for staff person #2 did not contain completed applicable out-of-state clearance information as required under the CPSL. The out-of-state clearances have since been obtained.

Corrected Corrected by Sep 17, 2025

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

3270.35(b)/3270.192(2)(ii) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). (1) A bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. (2) A bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. (3) An associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. (4) An associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff person #3 is serving as a group supervisor at the facility. The staff person's record did not include documentation of education needed to meet one of the group supervisor qualifications as listed under §3270.35(b)(1)-(4).

Corrected Corrected by Sep 8, 2025

Category: supervision. 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.

Ladybugs - Multiple bottles of sunscreen were observed in cubbies in areas accessible to the children in the room. (CORRECTED ON SITE)

Corrected Corrected by Sep 5, 2025

Marked corrected in the state record.

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

Fireflies - The first aid kit was observed laying on a shelf on the playground, in an area accessible to the children using the space. (CORRECTED ON SITE)

Corrected Corrected by Sep 5, 2025

Category: health medication. 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.

Caterpillars - Peeling paint was observed on the back wall in an area accessible to the children in the room. (CORRECTED ON SITE)

Corrected Corrected by Sep 5, 2025

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. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Waddlers - A staff person used a wipe to clean an infant's hands after a diaper change instead of washing the child's hands. The child is able to crawl and hold up their head. (CORRECTED ON SITE)

Corrected Corrected by Sep 5, 2025

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

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

Fireflies - The thermometer in the refrigerator was reading at 48° F.

Corrected Corrected by Sep 8, 2025

Category: nutrition. 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 persons #4 and #5 were present with a group of 16 children. Staff person #4 identified 7 of the children as being in her care group. Staff person #5 identified 8 of the children as being in her care group. One of the children present with the group was unaccounted for in the staff's care groups.

Corrected Corrected by Sep 8, 2025

Category: supervision. Marked corrected in the state record.

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

The agreement on file for child #3 did not include the child's arrival and departure times.

Corrected Corrected by Sep 5, 2025

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 children #1 and #2 each did not include a complete address for the child's physician.

Corrected Corrected by Sep 8, 2025

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information on file for children #2 and #5 each did not include the enrolling parent's work address.

Corrected Corrected by Sep 8, 2025

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.

Epi pens were on site for children #6 and #7. The operator did not have medication logs completed for the medications.

Corrected Corrected by Sep 8, 2025

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The health assessment on file for staff person #4 did not include results of a screening for communicable diseases.

Corrected Corrected by Sep 8, 2025

Category: health medication. 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.

The emergency contact form on file for child #3 was signed by the parent in September of 2024 and subsequently more than 6 months later in April of 2025. The agreement for child #4 was signed by the parent in January of 2025 and subsequently more than 6 months later in August of 2025.

Corrected Corrected by Sep 17, 2025

Category: recordkeeping. Marked corrected in the state record.

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

A pile of disenrolled child files were being stored on top of the filing cabinet.

Corrected Corrected by Sep 5, 2025

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.

According to the log on file at the time of inspection, the fire detection system was manually tested 4/1/25 and then more than 30 days later on 5/2/25. The system was then tested 6/1/25 and then more than 30 days later on 7/6/25.

Corrected Corrected by Sep 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. Facility person #1 may not work in a child-care position at the facility.

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

Corrected Corrected by Apr 25, 2025

Category: supervision. 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.

Dried black beans were observed in a sensory table being used by toddlers on the playground. The bin was later observed in the Doodlebugs room.

Corrected Corrected by Apr 25, 2025

Marked corrected in the state record.

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

A music box toy was observed in a crib with a sleeping infant. (CORRECTED ON SITE)

Corrected Corrected by Apr 25, 2025

Category: physical safety. 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 facility person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(b) · A staff person shall be 18 years of age or older.

Facility person #1 is 17 years old and is serving as a staff person.

Corrected Corrected by Apr 25, 2025

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). Staff Person #1 may not work in a child care position at the facility. 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.

According to documentation on file at the time of inspection, facility person #1 began serving as a staff person with incomplete clearances on file. The staff record did not contain completed DHS FBI clearance as required under the CPSL, nor documentation the facility person had been fingerprinted for the FBI clearance required for provisional hiring under the CPSL. The PA state police clearance on file for the staff person listed an incorrect date of birth, and listed alias names that did not belong to the individual. Staff person #1 had worked alone with children while serving as a provisional employee. The disclosure statement on file for staff person #1 was incomplete as it was not dated.

Corrected Corrected by Apr 25, 2025

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 #1 was serving as an AGS and has worked alone with children. The individual is not qualified to serve as a staff person. The staff person's record did not include documentation of education nor child care experience.

Corrected Corrected by Apr 25, 2025

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.

The facility does not have an accident file to retains copies of reports of accidents, injuries, and illnesses.

Corrected Corrected by Apr 25, 2025

Category: health medication. 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.

Honeybees - Hand sanitizer was observed at the back of the counter in an area accessible to the children in care. (CORRECTED ON SITE)

Corrected Corrected by Dec 13, 2024

Marked corrected in the state record.

3270.14 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.

Staff person #3 completed the required 10-hour health and safety training in October of 2020, but did not complete the required one-hour Pennsylvania health and safety update within 90 days of hire. (CORRECTED ON SITE)

Corrected Corrected by Dec 10, 2024

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).

When staff person 1 began working with the children at the facility, a volunteer state police clearance was on file. An employment clearance was obtained 75 days after start date, but the staff person's name was misspelled. (CORRECTED ON SITE) According to documentation on file at the time of inspection, when staff person #2 began working with children at the facility the staff record did not contain a completed NSOR as required under the CPSL, and did not contain a copy of a request for the outstanding NSOR certificate as required for provisional hiring under the CPSL. The NSOR was dated 30 days after start date.

Corrected Corrected by Dec 9, 2024

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.

The first aid kit in the Doodlebugs room did not contain tweezers. (CORRECTED ON SITE)

Corrected Corrected by Dec 13, 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 - A cord to a sound machine was laying across the floor in an area accessible to mobile infants. (CORRECTED ON SITE) Crickets, Caterpillar, Butterfly, and Doodlebug rooms - The areas underneath the changing table mats were visibly dirty. (CORRECTED ON SITE)

Corrected Corrected by Dec 13, 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.

Caterpillar room - Plastic bags were observed in an open cubby in an area accessible to the toddlers in the room. (CORRECTED ON SITE) Butterfly room - Two staples were observed in areas accessible to the toddlers in the room. (CORRECTED ON SITE)

Corrected Corrected by Dec 13, 2024

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.

Staff person 2 - The health assessment and TB test results on file were not dated within in the 12 months prior to providing care. The health assessment with TB test results were dated 18 days after start date.

Corrected Corrected by Nov 22, 2024

Category: ratio. 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 #4 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 topic. (CORRECTED ON SITE)

Corrected Corrected by Dec 9, 2024

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

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

A sink in a preschool room was leaking (water was observed to be dripping onto the floor).

Corrected Corrected by Sep 5, 2024

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

3270.102(e) · 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.

Mulch was observed within reach of the toddler playground. (CORRECTED ON SITE)

Corrected Corrected by Sep 5, 2024

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