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.

1st room on right - A sensory toy that is attached to the wall is broken. Ropes that were previously connected to the base were disconnected at one end, creating choking hazards.

Corrected Corrected by Feb 6, 2026

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.

1st room on right (young toddlers) - Staff persons were observed using a tablet for screen time during a together time with young toddlers. When asked, the staff reported using the tablet for screen time every day with the toddlers. In addition, they reported using flash cards on a regular basis during their together time with one-year olds.

Corrected Corrected by Feb 6, 2026

Category: background checks. 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 lifted up child #1 (a 9 month old infant) by the arm.

Corrected Corrected by Jul 23, 2025

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

3270.51/3270.52 · 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. 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).

Lions - Staff person #1 was alone with 16 preschool aged children when staff person #2 left the room to answer the door. Duckings -Staff person #3 was observed to be the sole staff person with 8 young toddlers and 1 infant while staff person #4 was observed in the laundry room in the hallway. -Once staff person #4 returned to the room, staff persons #3 and #4 were caring for 9 children. The youngest child was an infant and in the care of staff person #4 who had 5 children in their group.

Corrected Corrected by Jul 23, 2025

Category: ratio. 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 observed on the counter in the Ducklings room. 2 incident reports were from 7/11/25, 2 were from 7/15 and 1 was from 7/16.

Corrected Corrected by Jul 23, 2025

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

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

The temperature of the water in the children's sink in the Giraffe's room measured at 115° F. (CORRECTED ON SITE)

Corrected Corrected by May 9, 2025

Category: physical safety. 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 infant room did not contain gauze. (CORRECTED ON SITE)

Corrected Corrected by May 9, 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.

The thermometer in the refrigerator in the Lions room read at 52° F. (CORRECTED ON SITE)

Corrected Corrected by May 9, 2025

Category: nutrition. 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).

Child #1 has been enrolled for more than 6 months. The facility has not completed a child service report for the child.

Corrected Corrected by May 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Staff person #2 was observed changing diapers in the Ducklings room. The staff person did not wash a child's hands after changing their diaper, and the staff person did not was their own hands between changing the diaper of the first and second child.

Corrected Corrected by May 9, 2025

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

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

A staff person was observed changing diapers in the Ducklings room. The diaper changing surface was not cleaned between the first child's diaper change and the second child's diaper change.

Corrected Corrected by May 9, 2025

Category: health medication. 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 assessment on file for staff person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care. (CORRECTED ON SITE)

Corrected Corrected by May 9, 2025

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

3270.175(a) · A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

The Harmony and Cosco brand booster seats in the van and in the bus were past their expiration date.

Corrected Corrected by May 9, 2025

Category: ratio. 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 in the van and in the bus were past due to be updated. The most recent parent signatures were more than 6 months old.

Corrected Corrected by May 9, 2025

Category: recordkeeping. 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.

The emergency plan in place did not provide for accomodations for toddlers.

Corrected Corrected by May 9, 2025

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

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

At the time of the follow up visit on 1/3/25, continued non-compliance was observed. The plan of corrections for the violation citing 3270.102c on SIN-00257618 had not been fully implemented. On 11/22/2024, areas of mulch surrounding the embedded equipment measured at 4 to 7 inches, short of the required 9 inches of loose fill mulch. On 12/18/24, areas of mulch surrounding the embedded equipment measured at 4 to 5 inches, short of the required 9 inches of loose fill mulch. On 1/3/2025, areas of mulch surrounding the embedded equipment measured at less than 6 inches, short of the required 9 inches of loose fill mulch.

Corrected Corrected by Jan 14, 2025

Category: physical safety. 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.

3rd room on left - Children were observed sleeping on cots that had less than 2 feet of space on three sides of the equipment.

Corrected Corrected by Jan 14, 2025

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

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

At the time of the follow up visit to verify corrections for SIN-00256159, it was observed that the plan of corrections for the violation citing 3270.37(c) on had not been fully implemented. On 12/18/24, staff person 3 (aide) was alone with children at naptime. The assistant group supervisor was not in the room at the time certification staff arrived for the inspection.

Corrected Corrected by Dec 30, 2024

Category: supervision. Marked corrected in the state record.

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

At the time of the follow up visit to verify corrections for SIN-00256159, it was observed that the plan of corrections for the violation citing 3270.102(c) on had not been fully implemented. On 12/18/24, areas of mulch surrounding the embedded equipment measured at 4 to 5 inches, short of the required 9 inches of loose fill mulch.

Corrected Corrected by Dec 30, 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). Staff person #2 may not work in a child care position at the facility until complete clearances are on file.

The record for staff person #1 included a volunteer state police clearance in-lieu of the required employment state police clearance. (CORRECTED ON SITE) The most recent NSOR on file for staff person #2 expired on 11/6/2024.

Corrected Corrected by Dec 4, 2024

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

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff person 3 is serving as an aide at the facility. Staff person 3 is alone with children during naptime, when the assistant group supervisor goes on lunch break.

Corrected Corrected by Dec 4, 2024

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.

An exposed nail was observed on the wooden mulch barrier for the playground.

Corrected Corrected by Dec 4, 2024

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

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

Areas of mulch surrounding the embedded equipment measured at 4 to 7 inches, short of the required 9 inches of loose fill mulch.

Corrected Corrected by Dec 4, 2024

Category: physical safety. 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 visit to verify corrections for the renewal inspection, continued non-compliance was observed. On 4/19/24, the most recent fire safety training on file for staff person 4 was dated in February of 2022 (seasonal staff). Staff person 5 has been employed for 1 year and 11 months (seasonally) and has not completed fire safety training. On 5/31/24, the most recent fire safety training on file for staff person 4 was dated in February of 2022 (seasonal staff). Staff person 5 has been employed for 1 year and 11 months (seasonally) and has not completed fire safety training.

Corrected Corrected by May 31, 2024

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the visit to verify corrections for the renewal inspection, continued non-compliance was observed. On 4/19/24, the depth of the mulch near the embedded equipment on the preschool playground did not meet the recommendations of the United States Consumer Product Safety Commission. The depth of the mulch measured at less than 9 inches of loose fill mulch. On 5/31/24, the depth of the mulch near the embedded equipment on the preschool playground did not meet the recommendations of the United States Consumer Product Safety Commission. The depth of the mulch measured at less than 9 inches of loose fill mulch.

Corrected Corrected by May 31, 2024

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. 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 person #6 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 person #6, staff person #6 may not work in a child-care position at the facility.

The record for staff person 5 (Seasonal staff) did not include the Pennsylvania Health and Safety update training which was to be completed by 12/30/2022. Staff person #6 cares for children unsupervised during naptime. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid and CPR

Corrected Corrected by Apr 30, 2024

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.

The most recent emergency plan training on file for staff person 4 was dated in February of 2022. The most recent emergency plan training on file for staff person 5 was dated in April of 2022.

Corrected Corrected by Apr 30, 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.

The most recent fire safety training on file for staff person 4 was dated in February of 2022 (seasonal staff). Staff person 5 has been employed for 1 year and 11 months (seasonally) and has not completed fire safety training.

Corrected Corrected by Apr 30, 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). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

The PA state policy and child abuse clearances were not updated timely for staff person 1. -State police clearance expired 9/25/2023, but was not updated until 10/3/23. -Child abuse clearance expired 10/1/2023, but was not updated until 10/4/23. The DHS FBI clearance was not updated timely for staff person 2. The clearance expired 1/18/2024, but was not updated until 4/13/24. Staff person 3 began employment without the applicable out-of-state clearances on file, nor the completed requests as required for provisional hiring. The clearances were obtained 8 months after start date. Staff person 6 is a provisional employee and stated that she is alone with children at naptime (the two staff in the room break each other).

Corrected Corrected by Apr 30, 2024

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

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

The most recent staff evaluation on file for staff person 4 was dated in February of 2022.

Corrected Corrected by Apr 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years 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 7 is serving as an AGS at the facility. The staff person's record includes sufficient documentation of childcare experience but did not include appropriate documentation of a high school diploma (as outlined by the Pennsylvania Department of Education). The high school diploma was just signed by the parents, and not by the 12th grade evaluator.

Corrected Corrected by Apr 30, 2024

Category: supervision. Marked corrected in the state record.

3270.51/3270.52 · 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. 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).

A single staff person was present in a toddler room with 12 toddlers (1st room on left). Two staff persons were present with 11 mixed age toddlers. One of the staff persons had a young toddler in her group and was caring for 6 children. (1st room on right)

Corrected Corrected by Apr 30, 2024

Category: ratio. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

More than 60 days lapsed between the fire drills conducted on 7/7/23 and subsequently 9/7/23.

Corrected Corrected by Apr 30, 2024

Category: recordkeeping. 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 1st room on the right did not contain gauze. The first aid kit in the Giraffes room did not contain tweezers.

Corrected Corrected by Apr 30, 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.

Toy bins in the Lions and Giraffes rooms were dirty. Three toy bins in the Giraffes room were broken (CORRECTED ON SITE).

Corrected Corrected by Apr 30, 2024

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

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

The depth of the mulch near the embedded equipment on the preschool playground did not meet the recommendations of the United States Consumer Product Safety Commission. The depth of the mulch measured at less than 9 inches of loose fill mulch.

Corrected Corrected by Apr 30, 2024

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

3270.114 · Weather permitting, children shall be taken out doors daily.

Toddlers are not being taken outside daily (weather permitting).

Corrected Corrected by Apr 30, 2024

Category: physical safety. 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 persons 2 and 4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Apr 30, 2024

Category: health medication. 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.

The lunches being send in from the children's homes were stored in lunchboxes (with icepacks) instead of being stored in a refrigerator. The lunchboxes contained potentially hazardous foods such as cheese, yogurts, sandwiches, etc.).

Corrected Corrected by Apr 30, 2024

Category: nutrition. 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: Preschool children 1:10 with a maximum group size of 20;

During the corrections verification visit for SIN-00221727, it was observed that the plan of corrections submitted for the ratio non-compliance had not implemented by the provider: Upon arrival to the preschool playground, 28 children were observed with 2 staff (staff 1 and 2). Staff person 3 had been in the building and walked onto the playground with certification staff, and staff person 4 was observed walking out of the building and onto the playground a short time later.

Corrected Corrected by Jun 6, 2023

Category: ratio. 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.

During the corrections verification visit for SIN-00221727, it was observed that the plan of corrections submitted for the following non-compliance had not implemented by the provider: Plastic bags were stored in an area accessible to toddlers (hanging from cubbies).

Corrected Corrected by Jun 6, 2023

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.

Preschool aged children were observed playing around the side of the building, out of sight of the staff present on the playground.

Corrected Corrected by Jun 6, 2023

Category: supervision. 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. Certified child care providers must ensure that they are compliant with the federal requirements at 45 CFR 98.41(a)(1)(vi) relating to the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: -Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; -Strategies for coping with a crying, fussing, or distraught child; and -Address the prevention and identification of child maltreatment.

At the time of inspection, the facility did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. A policy has been developed.

Corrected Corrected by Apr 27, 2023

Category: health medication. 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 #3 will have until May 3rd, 2023 to complete the required training. Until such time as the required training has been completed, staff person #3 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, staff person #3 may not work in a child-care position at the facility.

The record for staff person 3 did not include an acceptable training for the following topics within 90 days of employment. (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 21, 2023

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).

When the staff person 1 returned from a leave of absence, the staff person's record did not include a current FBI clearance (as the clearance had expired during the leave of absence). The current FBI clearance on file was dated 1 week after the staff person returned.

Corrected Corrected by Apr 27, 2023

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 2 is serving as one of the two group supervisors at the facility. Staff person 2 had an associate's degree in early childhood on file, but the record did not include documentation of 2 years (2,500 hours ) of child care experience as required per 3270.35b3. Staff person 3 is serving as an assistant group supervisor at the facility. Her record included documentation of a high school diploma, but did not include documentation of 2 years (2,500 hours ) of child care experience as required per 3270.36b5. Staff person 4 is serving as an aide at the facility. Her record included documentation of at least a 9th grade education, but did not include documentation of 2 years (2,500 hours ) of child care experience as required per 3270.27b3.

Corrected Corrected by Apr 27, 2023

Category: supervision. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

At the time of inspection, staff in the Monkeys room reported that they take turns breaking each other during naptime. One of the two staff persons working in that room was an aide and cannot be alone with children.

Corrected Corrected by Apr 27, 2023

Category: supervision. Marked corrected in the state record.

3270.51/3270.52 · 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. 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).

Ratio non-compliance was observed in both the Monkeys room and the Lions room. Monkeys - 13 two year olds were observed with 2 staff. Lions - 16 children were observed in the Lions room with 2 staff. Each staff person had an older toddler in their group, making the required staff:child ratio 1:6.

Corrected Corrected by Apr 27, 2023

Category: ratio. Marked corrected in the state record.

3270.55(a) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

15 children were observed in the Lions room at naptime with a single staff person. The youngest child in the room was an older toddler.

Corrected Corrected by Apr 27, 2023

Category: ratio. Marked corrected in the state record.

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

Spray side-walk chalk labeled "not intended for human consumption," "adult supervision required", and "ages 4+" was observed on the shelf in the Monkey room in an area accessible to the older toddlers. Giraffes room - A child safety latch was broken on a cabinet that stored Pine Sol, disinfectant, antiseptic, bleach water, and Febreeze. The items were within reach of the preschool and school age children that were receiving care in the space.

Corrected Corrected by Apr 27, 2023

Category: supervision. Marked corrected in the state record.

3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

The first aid kits in the vans (used to transport children) did not include bottles of water.

Corrected Corrected by Apr 27, 2023

Category: health medication. 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.

The following items were observed in the Monkeys room in areas accessible to older toddlers: -Plastic bags hanging from cubbies -Broken crayons and broken chalk that had a diameter of less than 1 inch. -Plastic toys (ex. bears) that had a diameter of less than 1 inch. -The sensory bins included items that had a diameter of less than 1 inch (corn, rice, seeds, pebbles)

Corrected Corrected by Apr 27, 2023

Marked corrected in the state record.

3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

A medication was on site in the Monkeys room for child 1. The facility was unable to provide a medication log, nor written parental consent for administration of the medication.

Corrected Corrected by Apr 27, 2023

Category: ratio. 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, manual tests of the fire detection system took place on 3/6/23 and subsequently 4/10/23. More than 30 days lapsed between the tests.

Corrected Corrected by Apr 27, 2023

Category: recordkeeping. 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.

During the verification visit for the facility's initial inspection, the following continued non-compliance was observed: Children in the older toddler room, and the two preschool rooms were observed sleeping on rest equipment that had less than 2 feet of space on three sides of the equipment.

Corrected Corrected by Jul 20, 2022

Category: physical safety. 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.

Staff person 1 does not have a current fire safety training on file.

Corrected Corrected by Jul 12, 2022

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 leg of an infant swing (that was in use) was observed lifting up off the ground while on a high speed, making the equipment unstable. A screw may have been loose at the base.

Corrected Corrected by Jun 30, 2022

Category: physical safety. 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 throughout the facility (all 5 rooms) sleeping on rest equipment that had less than 2 feet of space on three sides of the equipment.

Corrected Corrected by Jun 30, 2022

Category: physical safety. 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.

Staff person 1 has not been trained on the emergency plan.

Corrected Corrected by Jul 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.37(b)(3) · 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. An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Staff person 2 is serving as an aide at the facility. The staff person's record includes documentation of at least an 8th grade education, but did not include documentation of 2 years of child care experience (2,500 hours). 2,400 hours of child care experience was on file at the time of inspection.

Corrected Corrected by Jun 30, 2022

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). Preschool children 1:10, Young school-age children 1:12

Fourteen children of mixed ages (school-age and preschool) were observed in the Lions room with a single staff person. Two of the children were not napping and were not on their rest equipment, therefore naptime ratios do not apply.

Corrected Corrected by Jun 30, 2022

Category: ratio. 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.

Cloudy / stagnant water was observed in a dishpan underneath the sink in the Giraffes room. An edge of the picnic table seat on the playground was cracked, creating a sharp edge.

Corrected Corrected by Jun 30, 2022

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.

Spots of peeling paint were observed in the hallway near the car-seat storage area. An area of damaged plaster was observed near the mirror in the Penguin room.

Corrected Corrected by Jun 30, 2022

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

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

The toilet area used by the Monkeys and Lions had a strong urine odor, a pink film was observed in the toilet bowls, and feces were observed on the back of one of the toilet seats. One of the toilet lids was broken and covered with a black trash bag, and a second toilet was taped off to prohibit use.

Corrected Corrected by Jul 15, 2022

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.

The top of a play shelf (with toys secured onto surface) in the Penguin room was dusty.

Corrected Corrected by Jun 30, 2022

Category: physical safety. 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.

Food debris was observed at the bottom of the refrigerator in the penguin room.

Corrected Corrected by Jun 30, 2022

Category: nutrition. Marked corrected in the state record.

3270.133(5)/3270.133(6) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. A parent shall provide written consent for administration of medication or a special diet.

A medication was on site for a child with a seizure disorder. The medication had expired in March of 2022, and the parent's written permission was dated only through March of 2022.

Corrected Corrected by Jun 30, 2022

Category: ratio. Marked corrected in the state record.

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

Facility person records were observed in an unlocked cabinet.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.