3270.176(f) · In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van. TIERED LIS: 1. Children may not be transported in an 11-15 passenger van. This portion of the plan shall have an immediate correction date. 2. The facility shall demonstrate continued compliance with the prohibition of using an 11-15 passenger van to transport children through unannounced monitoring visits over the course of 3 months. This portion of the plan shall have a date of correction that is at least 3 months after a plan of correction is provided.

Upon inspection on 10/16/25, 12 seats were observed in the 2002 Ford E-150 van, that was observed to transport children on this day. Although the van was originally manufactured as an 8-passenger vehicle, according to a letter from Ford, the operator admitted to installing an additional third row with 4 seats, increasing the total seating capacity to 12.

Corrected Corrected by Feb 8, 2026

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.

Two brown stained ceiling tiles were observed at the entranceway of the facility. The kitchen was observed to have one brown stained ceiling tile, and a ceiling light cover with brown residue on it. Also, the Preschool Room had a hole in the wall by the blackboard.

Corrected Corrected by Mar 4, 2025

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

3270.102(a)/3270.104(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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

A blue pack n play in the Infant Room was observed to have two holes in its mesh. Another blue pack n play in the same room was observed to have 5 holes in its mesh. Also, a blue pack n play in the Young Toddler Room was observed to have three holes in its mesh. Additionally, a toilet in the Older Toddler Room Restroom was observed to have one rusted, exposed bolt near its base. The Younger Child Play Area was observed to have a ripped blue tarp. Trash (i.e. empty plastic containers, decaying fruit, empty snack wrappers, food crumbs) was observed on the floor of the 2002 Ford van. Also, the bench seat at the back of the van had torn fabric and exposed foam. Additionally, a plastic blue and white rocking chair in the Preschool Room and a plastic blue chair in the Older Child Play Area were observed to have a crack in the seat.

Corrected Corrected by Mar 12, 2025

Category: nutrition. 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 pink container, containing cut strawberries and cheese, was observed on a shelf, near the sink, in the Young Toddler Room. On that same shelf, was a white container which had chicken nuggets. Also, Clover Farms Milk, which was labeled, "keep refrigerated," was observed on a wooden shelf in the Preschool Room. These potentially hazardous food items were not refrigerated.

Corrected Corrected by Mar 3, 2025

Category: nutrition. Marked corrected in the state record.

3270.176(f) · In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

Upon inspection on 3/3/2025, 12 seats were observed in the 2002 Ford E-150 van which is used for transporting children. The vehicle was originally manufactured as an 8-passenger van. However, the operator admitted that, after purchasing the vehicle, they added a third row. This row contained 4 seats, making the vehicle a 12-passenger van, which is not allowed to be used for transporting children in childcare.

Corrected Corrected by Mar 3, 2025

Category: transportation. 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.

The fire detection system was not tested at least once every thirty days as evidenced by the following fire detection system logs that were on file: 7/19/24 to 8/19/24, 8/19/24 to 9/19/24, and 1/3/25 to 2/11/25.

Corrected Corrected by Mar 5, 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). A volunteer'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. Volunteer #1 may not volunteer in a child care position until the completed clearance is on file at the facility.

The file for Volunteer #1 (see code sheet for first day with children) only had a Department of Education FBI clearance on file which is not suitable for child care, and not the required DHS FBI clearance.

Corrected Corrected by Jun 28, 2024

Category: background checks. 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.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

A renewal inspection was conducted on 3/14/24. The emergency plan does not address continuity of operations.

Corrected Corrected by Mar 22, 2024

Category: ratio. Marked corrected in the state record.

3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A renewal inspection was conducted on 3/14/24. In the preschool playground, to the left of the gate, there is a hole in the fence near the ground, that children could easily crawl out of. To the right of the gate, the fence is not attached to the metal poles and was able to be easily pushed out allowing a child to crawl underneath.

Corrected Corrected by Apr 9, 2024

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.

A renewal inspection was conducted on 3/14/24. The infant/toddler first aid kit in the emergency bag did not contain soap. The older toddler first aid kit in the emergency bag did not contain scissors.

Corrected Corrected by Mar 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.

A renewal inspection was conducted on 3/14/24. The preschool/school age classroom have water damaged ceiling tiles.

Corrected Corrected by Mar 22, 2024

Category: physical safety. 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.

A renewal inspection was conducted on 3/14/24. Located in the back of the preschool/school age classroom is a wooden playhouse that has an exposed screw sticking out that is accessible to the children.

Corrected Corrected by Mar 14, 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.

A renewal inspection was conducted on 3/14/24. On the preschool playground, the mulch under the swings, slide, and climber on the embedded swing set measured 2 inches deep. The required depth of mulch is 9 inches.

Corrected Corrected by Apr 9, 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.

A renewal inspection was conducted on 3/14/24. The diaper changing table in the older toddler classroom had a roll of plastic bags on top of the table and underneath the table. The plastic bags were accessible to children.

Corrected Corrected by Mar 14, 2024

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

3270.175(c) · Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

A renewal inspection was conducted on 3/14/24. In the transportation van, the operator did not have the car seat manufacturer's instructions. The operator admitted she did not keep the manufacturer's instructions and threw them away.

Corrected Corrected by Mar 14, 2024

Category: transportation. Marked corrected in the state record.

3270.21/3270.71 · Conditions at the facility may not pose a threat to the health or safety of the children. Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

A renewal inspection was conducted on 3/15/23. At that time, the gate to the kitchen was observed to be open. The stovetop in the kitchen measured a temperature of 144° F. The children had access to the stove with the gate open. The gate was closed. Later during the inspection, a child was observed pushing the gate open. Staff attempted to fix the gate, but it was not able to latch properly and did not prevent access to the kitchen. An acceptable plan of correction was received on 3/15/23 with a correction date of 3/15/23. A complaint investigation was conducted on 3/21/23. At that time, the gate preventing access to the kitchen was left open three separate times allowing children access to the stove and the toxic cleaning products in an unlocked cabinet under the sink.

Corrected Corrected by Mar 21, 2023

Category: health medication. 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. The required staff:child ratios must be maintained at all times. 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). The required staff:child ratios must be maintained at all times. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision and Ratios. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The trainings may not be counted towards the 12 hours of training required by regulation.

A complaint investigation was conducted on 3/21/23. At 8:30am, Staff Person #1 had two infants and two young toddlers in their primary group. Staff Person #3 had seven young toddlers and two preschool children in their group. Staff Person #2 had three older toddlers and nine preschool children in their group. Two additional staff were needed to maintain ratio at that time. At 11:15am, Staff Person #2, an assistant group supervisor, and Staff Person #4, an aide, had a combined group of twelve preschool children. Staff Person #4 was seen leaving the building at 11:19 and returning at 11:20am. Staff Person #4 was seen yelling out the back door of the building to Staff Person #2, who was seen leaving the building at 11:22 am, before Staff Person #2 returned to the building a minute later. At 11:25am, Staff Person #4 was the only staff observed in the preschool room with the twelve children. Staff Person #2 returned to the room a minute later and was with the twelve children while Staff Person #4 had entered the kitchen area to prepare lunches leaving Staff Person #2 with twelve preschool children.

Corrected Corrected by Apr 29, 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. The required staff:child ratios must be maintained at all times. 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). The required staff:child ratios must be maintained at all times.

A complaint investigation was conducted on 3/21/23. At 8:30am, Staff Person #1 had two infants and two young toddlers in their primary group. Staff Person #3 had seven young toddlers and two preschool children in their group. Staff Person #2 had three older toddlers and nine preschool children in their group. Two additional staff were needed to maintain ratio at that time. At 11:15am, Staff Person #2, an assistant group supervisor, and Staff Person #4, an aide, had a combined group of twelve preschool children. Staff Person #4 was seen leaving the building at 11:19 and returning at 11:20am. Staff Person #4 was seen yelling out the back door of the building to Staff Person #2, who was seen leaving the building at 11:22 am, before Staff Person #2 returned to the building a minute later. At 11:25am, Staff Person #4 was the only staff observed in the preschool room with the twelve children. Staff Person #2 returned to the room a minute later and was with the twelve children while Staff Person #4 had entered the kitchen area to prepare lunches leaving Staff Person #2 with twelve preschool children.

Corrected Corrected by Mar 21, 2023

Category: supervision. Marked corrected in the state record.

3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

A complaint investigation was conducted on 3/21/23. At that time, rodent feces was observed in the cabinet under the sink in the kitchen.

Corrected Corrected by Mar 21, 2023

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. Children must be supervised at all times. 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 staff to receive a minimum of three hours of training regarding Supervision and Ratios. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The trainings may not be counted towards the 12 hours of training required by regulation.

A complaint investigation was conducted on 3/21/23. At 11:15am, Staff Person #2, an assistant group supervisor, and Staff Person #4, an aide, had a combined group of twelve preschool children. Staff Person #4 was seen leaving the building at 11:19 and returning at 11:20am. Staff Person #4 was seen yelling out the back door of the building to Staff Person #2, who was seen leaving the building at 11:22 am, before Staff Person #2 returned to the building a minute later. At 11:25am, Staff Person #4 was the only staff observed in the preschool room with the twelve children. Staff Person #2 returned to the room a minute later and was with the twelve children while Staff Person #4 had entered the kitchen area to prepare lunches with headphones in where she could not see or hear all of the children in the classroom. During naptime, the lights of the facility are turned off and staff are unable to see the children and properly supervise them.

Corrected Corrected by Apr 29, 2023

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. Children must be supervised at all times. 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.

A complaint investigation was conducted on 3/21/23. At 11:15am, Staff Person #2, an assistant group supervisor, and Staff Person #4, an aide, had a combined group of twelve preschool children. Staff Person #4 was seen leaving the building at 11:19 and returning at 11:20am. Staff Person #4 was seen yelling out the back door of the building to Staff Person #2, who was seen leaving the building at 11:22 am, before Staff Person #2 returned to the building a minute later. At 11:25am, Staff Person #4 was the only staff observed in the preschool room with the twelve children. Staff Person #2 returned to the room a minute later and was with the twelve children while Staff Person #4 had entered the kitchen area to prepare lunches with headphones in where she could not see or hear all of the children in the classroom. During naptime, the lights of the facility are turned off and staff are unable to see the children and properly supervise them.

Corrected Corrected by Mar 21, 2023

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. Children must be supervised at all times. 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 create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The policy must address how the staff will maintain compliance with subsections 3270.113a, 3270.113b, 3270.113c, and 3270.113d. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. All future hires must be trained on the policy and sign that they understand and will follow the policy. Acknowledgements must be kept on file.

A complaint investigation was conducted on 3/21/23. At 11:15am, Staff Person #2, an assistant group supervisor, and Staff Person #4, an aide, had a combined group of twelve preschool children. Staff Person #4 was seen leaving the building at 11:19 and returning at 11:20am. Staff Person #4 was seen yelling out the back door of the building to Staff Person #2, who was seen leaving the building at 11:22 am, before Staff Person #2 returned to the building a minute later. At 11:25am, Staff Person #4 was the only staff observed in the preschool room with the twelve children. Staff Person #2 returned to the room a minute later and was with the twelve children while Staff Person #4 had entered the kitchen area to prepare lunches with headphones in where she could not see or hear all of the children in the classroom. During naptime, the lights of the facility are turned off and staff are unable to see the children and properly supervise them.

Corrected Corrected by May 11, 2023

Category: supervision. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

A complaint investigation was conducted on 3/21/23. At that time, it was found that staff yell harshly at the children, including yelling "Get away from there!" and that staff swear in front of children saying "What the f***!" "F***" and "D***"

Corrected Corrected by Mar 21, 2023

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 renewal inspection was conducted on 3/15/23. At that time, Odo-ban was observed in an unlocked cabinet in the furthest bathroom from the front entrance. The Odo-ban was labeled "keep out of reach of children" and was accessible to the children in care. An acceptable plan of correction was received on 3/15/23 with a correction date of 3/15/23. During an investigation conducted at the facility on 3/21/23, Red Bull, labeled "not recommended for children" was observed on the desk in the big preschool room. Glade Pumpkin Spice Things Up Room refresher was observed on the desk in the big preschool room. Glade Fall Night Long room refresher and Barbasol Shaving Foam were observed on low shelves in the unlocked tall storage cabinet in the big preschool room. Lysol disinfectant spray, Lemon Fresh Disinfectant Cleaner, and Clorox cleaner were observed in an unlocked cupboard under the sink in the kitchen area. The gate to the kitchen area was open on three separate occasions during the inspection. Odo-ban was observed in an unlocked cabinet in the furthest bathroom from the front entrance. All items listed above were labeled "keep out of reach of children" and were accessible to the children in care during the inspection.

Corrected Corrected by Mar 21, 2023

Marked corrected in the state record.

3270.67(a) · Trash shall be removed from the facility at least once per day.

During an investigation conducted at the facility on 3/21/23, two trash cans in the big preschool room were observed to have food in them at 9:00am. Neither were plastic lined. One trash can had peas and other food from a previous day's lunch. The other trash can had an overwhelming odor similar to that of a soiled diaper, but was observed to have food in it.

Corrected Corrected by Mar 21, 2023

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

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

During an investigation conducted at the facility on 3/21/23, two trash cans in the big preschool room were observed to have leftover food in them at 9:00am. Neither were plastic lined. One trash can had peas and other food from a previous day. The other trash can had an overwhelming odor similar to that of a soiled diaper, but was observed to have leftover food in it. The trash can in the kitchen was not lidded and a discarded tampon was observed in it.

Corrected Corrected by Mar 21, 2023

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

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

During an investigation conducted at the facility on 3/21/23, a first aid kit was observed on a cabinet in the hallway approximately 30 inches high and was accessible to the children.

Corrected Corrected by Mar 22, 2023

Category: health medication. 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.

During an investigation conducted at the facility on 3/21/23, Staff Person #1 was observed changing a child's diaper while another child used the bathroom next to the changing table. The child came out of the bathroom and was seen touching the toy box and changing table before their hands were washed. Staff Person #1 was observed washing both children's hands before walking the soiled diaper to the front of the building and handing the soiled diaper to Staff Person #6 to disposed of. Staff Person #6 did not wash their hands after handling the soiled diaper. Staff Person #1 then returned to the changing table and cleaned and sanitized the changing table. Staff Person #1 did not wash their hands before changing the next child.

Corrected Corrected by Mar 21, 2023

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

3270.101(a)/3270.111(c) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. 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. The legal entity must arrange for all staff to receive a minimum of two hours of training regarding Developmentally Appropriate Practices. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The trainings may not be counted towards the 12 hours of training required by regulation.

During an investigation conducted at the facility on 3/21/23, the shelves in the big preschool room were empty. During the investigation, children were offered play-doh or television, but no other toys or activities were available. It was found that the preschool classrooms do not follow the schedule throughout the day. Children are not engaged in activities and do not have toys to play with and instead are offered television or an ipad for the day.

Corrected Corrected by Apr 29, 2023

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

3270.101(a)/3270.111(c) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. 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.

During an investigation conducted at the facility on 3/21/23, the shelves in the big preschool room were empty. During the investigation, children were offered play-doh or television, but no other toys or activities were available. It was found that the preschool classrooms do not follow the schedule throughout the day. Children are not engaged in activities and do not have toys to play with and instead are offered television or an ipad for the day.

Corrected Corrected by Mar 29, 2023

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.

During an investigation conducted at the facility on 3/21/23, the playhouse on the playground was broken and cracked, presenting pinching hazards.

Corrected Corrected by Mar 22, 2023

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

During an investigation conducted at the facility on 3/21/23, ibuprofen was observed in an unzipped backpack hanging in the hallway and was accessible to the children. Children's pain and fever reliever was observed on top of the cubbies in the big preschool room and was accessible to the children. XtraCare Oatmeal Lotion with Cooling Action was observed on the desk in the big preschool room and was accessible to the children.

Corrected Corrected by Mar 21, 2023

Category: health medication. 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.

During an investigation conducted at the facility on 3/21/23, Staff Person #1 was observed changing a child's diaper. The trash can used for diapering next to the changing table was not lidded nor plastic lined. Staff Person #1 was observed washing both children's hands before walking the diaper to the front of the building and handing the soiled diaper to Staff Person #6 to disposed of.

Corrected Corrected by Mar 21, 2023

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 renewal inspection was conducted on 3/15/23. At that time, the diaper changing pad outside the bathrooms was observed to be ripped in two places and was unable to be sanitized properly after being used. An acceptable plan of correction was received on 3/15/23 with a correction date of 3/15/23. During an investigation conducted at the facility on 3/21/23, the changing pad used for diapering was cloth and not able to be properly sanitized in between uses. When informed of this, Staff Person #1 used a ripped changing pad for diaper changes, which is not able to be properly sanitized between uses.

Corrected Corrected by Mar 21, 2023

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

3270.21/3270.71 · Conditions at the facility may not pose a threat to the health or safety of the children. Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

A renewal inspection was conducted on 3/15/23. At that time, the gate to the kitchen was observed to be open. The stovetop in the kitchen measured a temperature of 144° F. The children had access to the stove with the gate open. The gate was closed. Later during the inspection, a child was observed pushing the gate open. Staff attempted to fix the gate, but it was not able to latch properly and did not prevent access to the kitchen.

Corrected Corrected by Mar 15, 2023

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

3270.21/3270.71 · Conditions at the facility may not pose a threat to the health or safety of the children. Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact. The provider must install a gate/door with self-latching mechanism that closes and latches automatically preventing children access to the kitchen area.

A renewal inspection was conducted on 3/15/23. At that time, the gate to the kitchen was observed to be open. The stovetop in the kitchen measured a temperature of 144° F. The children had access to the stove with the gate open. The gate was closed. Later during the inspection, a child was observed pushing the gate open. Staff attempted to fix the gate, but it was not able to latch properly and did not prevent access to the kitchen.

Corrected Corrected by Mar 21, 2023

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #6 shall complete the required one-hour 2022 update to the health and safety training by 3/3/23.

A renewal inspection was conducted on 3/15/23. At that time, Staff person #6 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Mar 15, 2023

Category: health medication. 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.

A renewal inspection was conducted on 3/15/23. At that time, the file for Staff Person #4 was reviewed. The file contained a PA Child Abuse Clearance dated 2/22/23 which was after they began working at the facility.

Corrected Corrected by Mar 15, 2023

Category: background checks. 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.

A renewal inspection was conducted on 3/15/23. At that time, the file for Staff Person #5, an assistant group supervisor, did not contain verification of 2 years' experience working with children.

Corrected Corrected by Mar 29, 2023

Category: supervision. Marked corrected in the state record.

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

A renewal inspection was conducted on 3/15/23. At that time, the fence on the preschool playground opposite the road did not extend to the ground and was able to be easily pushed out allowing a child to crawl underneath.

Corrected Corrected by Mar 22, 2023

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 renewal inspection was conducted on 3/15/23. At that time, Odo-ban was observed in an unlocked cabinet in the further bathroom from the entrance. The Odo-ban was labeled "keep out of reach of children" and was accessible to the children in care.

Corrected Corrected by Mar 15, 2023

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 renewal inspection was conducted on 3/15/23. At that time, ceiling tiles in the kitchen were observed to be water damaged. Ceiling tiles in the older preschool (purple) room were observed to be water damaged. Toilet paper was observed scattered on the floor of the bathroom.

Corrected Corrected by Mar 22, 2023

Category: physical safety. 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.

A renewal inspection was conducted on 3/15/23. At that time, small nails were exposed on the top of the cubbies in the young preschool room. A supply cabinet was not secured to the wall and posed a tipping hazard as it was placed on an unlevel floor. The vanity in the bathroom further from the entrance was disintegrating upon touch.

Corrected Corrected by Mar 22, 2023

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

3270.124(f)/3270.181(c) · 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. 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.

A renewal inspection was conducted on 3/15/23. At that time, the child files were reviewed. The emergency contact form and financial agreements had not been updated in the past 6 months for the following children: Child #1 (3/29/22); Child #2 (7/21/22); Child #3 (1/20/22).

Corrected Corrected by Mar 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of 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). Child #1, Child #2, and Child #3 must be dismissed from care by close of business 3/15/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted on 3/15/23. At that time, the child files were reviewed. The immunization records for Child #1 and Child #3 did not contain documentation of administration of the flu vaccine. The date of the most recent flu vaccine administered for Child #2 was dated 12/2/21.

Corrected Corrected by Mar 15, 2023

Category: ratio. 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 renewal inspection was conducted on 3/15/23. At that time, the diaper changing pad outside the bathrooms was observed to be ripped in two places and was unable to be sanitized properly after being used.

Corrected Corrected by Mar 15, 2023

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.

A renewal inspection was conducted on 3/15/23. At that time, the file for Staff Person #5 did not contain a health assessment.

Corrected Corrected by Mar 29, 2023

Category: ratio. 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.

A renewal inspection was conducted on 3/15/23. At that time, the staff files were reviewed. The following staff files did not contain two written letters of reference: Staff Person #1, Staff Person #2, Staff Person #3, Staff Person #4, and Staff Person #5.

Corrected Corrected by Mar 29, 2023

Category: recordkeeping. 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.

A renewal inspection was conducted on 3/15/23. At that time, the director stated that an emergency drill had not been conducted in the past year.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. 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 complaint inspection was conducted on 11/7/22. At that time, a soiled diaper and a crushed plastic water bottle were observed on the preschool playground. A sticky residue was observed on the floor just inside the door when entering the facility from the playground.

Corrected Corrected by Nov 7, 2022

Category: health medication. 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.

An unannounced inspection was conducted on 11/7/22. At that time, a soiled diaper in a plastic garbage bag was observed on the floor of the infant room, with the top of the bag hung from the changing table. The plastic garbage bag was not contained in a hands-free covered can.

Corrected Corrected by Nov 7, 2022

Category: health medication. 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.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. 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 #1, Staff Person #2, Staff Person #3, and Staff Person #4 must be supervised, when interacting with children, by an assistant group supervisor who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff Person #1, Staff Person #2, Staff Person #3, and Staff Person #4, then Staff Person #1, Staff Person #2, Staff Person #3, and Staff Person #4 may not work in a child-care position at the facility.

An unannounced inspection was conducted on 11/7/22. At that time, Staff Person #1 was working unsupervised in the first room to the right upon entering the building. Staff person #1 has not completed the pediatric first aid and cpr training or the health and safety training required prior to caring for children unsupervised. Staff Person #4 was working unsupervised in the first room to the left upon entering the building. Staff person #4 has not completed the pediatric first aid and cpr training or the health and safety training required prior to caring for children unsupervised. Staff Person #2 and Staff Person #3 were working together unsupervised in the second room to the left upon entering the building. Staff person #2 has not completed the pediatric first aid and cpr training or the health and safety training required prior to caring for children unsupervised. Staff person #3 has not completed the health and safety training required prior to caring for children unsupervised.

Corrected Corrected by Nov 19, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff Person #3 and Staff Person #4 will have until 12/1/22 to complete the required training. Until such time as the required training has been completed, Staff Person #3 and Staff Person #4 must be supervised, when interacting with children, by an assistant group supervisor who has completed the required training related to this citation. If there are no staff available to supervise Staff Person #3 and Staff Person #4, then Staff Person #3 and Staff Person #4 may not work in a child-care position at the facility.

An unannounced inspection was conducted on 11/7/22. At that time, Staff Person #3, has not completed the health and safety training within 90 days of their date of hire. Staff Person #4 has not completed the pediatric first aid and cpr training or the health and safety training within 90 days of their date of hire.

Corrected Corrected by Nov 8, 2022

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.

An unannounced inspection was conducted on 11/7/22. At that time, baby powder labeled "keep out of reach of children" was observed in an open diaper bag in a cubby at floor level and was accessible to the infants and young toddlers in care.

Corrected Corrected by Nov 7, 2022

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.

An unannounced inspection was conducted on 11/7/22. At that time, a plastic garbage bag was observed on the floor of the infant room, with the top of the bag hung from the changing table. This bag was accessible to the mobile infants in care.

Corrected Corrected by Nov 7, 2022

Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

An unannounced inspection was conducted on 11/7/22. At that time, albuterol was observed on the shelf of a child's cubby approximately 24 inches high. A mobile infant was observed reaching into the cubby during the inspection. The medication was accessible to the mobile infants and young toddlers in care.

Corrected Corrected by Nov 7, 2022

Category: health medication. 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). The Operator/ Legal Entity shall post a sign in each group space that list the ratios for similar age groups and mixed age groups of children. Also on the sign will be the naptime ratios. This sign shall be posted in each group space where parents and staff can see it.

During an unannounced complaint visit to the facility on 6/22/22 Cert rep. observed facility person #1 in the young toddler room supervising a group of seven children that included six young toddlers and one infant. The young toddler room was out of ratio and a second staff person was required. Children were immediately re-assigned to staff so the facility was able to come into compliance.

Corrected Corrected by Jul 29, 2022

Category: supervision. 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). The required staff/child ratios must be maintained at all times.

During an unannounced complaint visit to the facility on 6/22/22 Cert rep. observed facility person #1 in the young toddler room supervising a group of seven children that included six young toddlers and one infant. The young toddler room was out of ratio and a second staff person was required. Children were immediately re-assigned to staff so the facility was able to come into compliance.

Corrected Corrected by Jun 22, 2022

Category: supervision. 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.

During a walk thru of the facility conducted on 6/22/22 Cert. rep observed facility person #2 change child #1's diaper, an infant, and facility person #2 did not wash her hands or the infant's hands after she was finished diapering the child.

Corrected Corrected by Jun 22, 2022

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

3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

During a physical site walk thru of the facility conducted on 6/22/22 Cert rep observed child #1, an infant less than 6 mos. old, was laying in a carrier and drinking from a bottle that was propped up with a blanket. Facility person #1 was not holding child #1 while being bottle fed.

Corrected Corrected by Jul 29, 2022

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

During a physical site walk thru of facility conducted on 6/22/22 Cert. rep observed staff use the kitchen area while children were present in the preschool room leaving the gate unlocked and the stove accessible. The stove does not have a stove guard.

Corrected Corrected by Aug 5, 2022

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

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

There is one area of fencing located in the outdoor play space where the fencing ends without connecting to the fence creating a gap (approximately 18 inches) large enough for a child to fit thru and possibly exit the play yard.

Corrected Corrected by Mar 21, 2022

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 located in the young toddler room is missing gloves

Corrected Corrected by Mar 17, 2022

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.

The tan deck that is located in the preschool / school-age room has areas of peeling paint on it. The white train table located in the same room also has peeling paint on it.

Corrected Corrected by Mar 30, 2022

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. Will make sure that all infants use pack n plays for nap time or anytime an infant falls asleep. Will wait until a child turns 1 yr. old before a mat is used for napping.

The cots used by the toddlers in the young toddler room do not have the names of the children labeled on them. Facility person #1 had one young toddler and an one infant in her assigned group. Cert rep noticed that there were vinyl rest mats in the room but no cribs and asked where child #2, an infant, sleeps. Cert rep was told by facility person #1 that child #2 sleeps on a rest mat. A mat is not age-appropriate rest equipment for an infant. A sleeping infant must be placed in a crib that meets current ASTM standards.

Corrected Corrected by Mar 17, 2022

Category: physical safety. 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.

The vinyl diaper pad on the diapering table located outside of the bathrooms has a small hole and some worn areas and is not able to be properly sanitized after each use

Corrected Corrected by Mar 17, 2022

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Child #1, 2 and 3 are infants and do not have written formula and feeding schedules provided by the parent

Corrected Corrected by Mar 31, 2022

Category: nutrition. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Facility person #1 does not have 12 hours of annual child care training documented in her file

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(b)/3270.113(d) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children.

A complaint investigation was conducted on site on 2/28/2022. Through staff interviews and review of video footage, it was confirmed that on 2/2/22, Staff #1 pulled the arm of Child #1 two times, causing a scratch to the child's left arm. Staff #1 was pulling the child's arm to force the child to sit down at a table. Staff #1 was also observed to be shouting at the child during this interaction. Staff #2 was observed coming over to the child to intervene in the situation.

Corrected Corrected by Feb 28, 2022

Marked corrected in the state record.

3270.113(b)/3270.113(d) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. The Legal Entity will schedule all facility staff, hired as of the date of the training, to attend the following training: Looking through the Lens of Stress as an Educator. Staff will participate in a minimum of 2 hours of this PQAS approved training. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

A complaint investigation was conducted on site on 2/28/2022. Through staff interviews and review of video footage, it was confirmed that on 2/2/22, Staff #1 pulled the arm of Child #1 two times, causing a scratch to the child's left arm. Staff #1 was pulling the child's arm to force the child to sit down at a table. Staff #1 was also observed to be shouting at the child during this interaction. Staff #2 was observed coming over to the child to intervene in the situation.

Corrected Corrected by Apr 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(b)/3270.113(d) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. The Legal Entity will create a Behavior Management policy. This will include policies and procedures regarding behavior management and staff's response to the challenging and stressful situation. The policy must include how other staff shall intervene to help each other when situations escalate. The policy must also include how the facility will work with the family in managing the children's challenging behavior. The legal entity will submit the policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policy and it must be documented in their files.

A complaint investigation was conducted on site on 2/28/2022. Through staff interviews and review of video footage, it was confirmed that on 2/2/22, Staff #1 pulled the arm of Child #1 two times, causing a scratch to the child's left arm. Staff #1 was pulling the child's arm to force the child to sit down at a table. Staff #1 was also observed to be shouting at the child during this interaction. Staff #2 was observed coming over to the child to intervene in the situation.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

A complaint investigation was conducted on site on 2/28/2022. Through staff interviews and review of video footage, it was confirmed that on 2/2/22, Staff #1 pulled the arm of Child #1 two times, causing a scratch to the child's left arm. Staff #1 was pulling the child's arm to force the child to sit down at a table. Staff #1 was also observed to be shouting at the child during this interaction. Staff #2 was observed coming over to the child to intervene in the situation.

Corrected Corrected by Mar 10, 2022

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 #3 may not work in a child care position at the facility.

An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff file # 3 was reviewed and had a date of hire of 7/23/21. At the time of this inspection, the NSOR clearance for Staff # 3 was unable to be located by the director. Staff # 3 was working in child care without all appropriate clearances on file per the CPSL. Staff # 3 did not participate in mandated reporter training within 90 days of their hire date. Staff # 3 participated in mandated reporter training on 2/11/22.

Corrected Corrected by Feb 28, 2022

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