3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. TIERED LIS: 1. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. This portion of the plan shall have an immediate correction date. 2. The Legal Entity must arrange for staff #1 to receive a minimum of two hours of training regarding Appropriate Age-Related Redirection. The LE must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date when this training will be completed.

Staff person #1 admitted that she tells child #1 that if she doesn't behave when she gets home her daddy is going to give her a dada. Staff person #1 stated the child's father gave her permission to say that and dada means spanking.

Corrected Corrected by Sep 10, 2025

Category: recordkeeping. 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.

The operator does not have a policy in place to address continuity of operations.

Corrected Corrected by Oct 17, 2024

Category: ratio. Marked corrected in the state record.

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

Staff person #1 does not have an initial health assessment on file. Staff person #2 has a health assessment dated 9/18/24, which is after the date of working with children.

Corrected Corrected by Oct 17, 2024

Category: ratio. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Operator has not sent a copy of the emergency plan annually to the local municipality and to the county emergency management agency, date of last copy sent 7/7/22.

Corrected Corrected by Oct 17, 2024

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

3270.31(c)/3270.31(c)(1) · An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person. An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person, if the curriculum is conducted by an institution approved by the Department of Education and accredited by an accrediting agency recognized by the United States Department of Education or the Council on Postsecondary Education and acceptable to the Department of Education.

Staff person #2 is working/volunteering at the facility without proof of enrollment in an approved training curriculum from the school.

Corrected Corrected by Oct 8, 2024

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). Facility Person # 2 & 3 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Staff person #2 & 3 do not have proof of request or an NSOR clearance on file prior to working with children.

Corrected Corrected by Oct 18, 2024

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.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.

Staff person #1 admitted that a few weeks in September some of the classrooms were out of ratio for 5-15 minutes in the am.

Corrected Corrected by Oct 7, 2024

Category: ratio. 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 legal entity must arrange for all facility staff to receive a minimum of two hours of PQAS training regarding staff;child ratios. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Staff person #1 admitted that a few weeks in September some of the classrooms were out of ratio for 5-15 minutes in the am.

Corrected Corrected by Nov 16, 2024

Category: ratio. Marked corrected in the state record.

3270.21/3270.133(3) · Conditions at the facility may not pose a threat to the health or safety of the children. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

On 5/21/24 staff person #1 administered child #1's prescription medication Cephaloxim to child #2.

Corrected Corrected by May 22, 2024

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

3270.21/3270.133(3) · Conditions at the facility may not pose a threat to the health or safety of the children. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. The legal entity must arrange for all facility staff to receive Medication Administration Workshop training through ECELS.

On 5/21/24 staff person #1 administered child #1's prescription medication Cephaloxim to child #2.

Corrected Corrected by May 22, 2024

Category: ratio. 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 1 will have until 1/11/2024 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started in Center Based Care-revised edition.

Corrected Corrected by Jan 11, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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 Learning Experience administration will check twice a day that staff are appropriately using the "Name to Face Transition Sheet" and iPad by ensuring that all children in the classroom are signed in. The legal entity must arrange for all facility staff to receive a minimum of two hours of in person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The training should be through a PQAS trainer.

Staff 1 and 2 left child 1 in their classroom for approximately 2 minutes when taking the children outside. Staff 1 and 2 did not have child 1 on their "Name to Face Transition Sheet" as she was not signed in when arriving in the morning. Staff 3 observed child 1 in the classroom by herself when walking through the facility. Staff 3 then brought child 1 back to her office. Staff 3 did observe that staff 1 and 2 were able to name their primary care groups. However, when staff 3 returned child 1 back to her classroom at 12:15p.m., staff 1 and 2 still did not realize that child 1 was missing from their group.

Corrected Corrected by Feb 10, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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.

Staff 1 and 2 left child 1 in their classroom for approximately 2 minutes when taking the children outside. Staff 1 and 2 did not have child 1 on their "Name to Face Transition Sheet." Staff 3 observed child 1 in the classroom by herself when walking through the facility. Staff 3 then brought child 1 back to her office. Staff 3 did observe that staff 1 and 2 were able to name their primary care groups. However, when staff 3 returned child 1 back to her classroom at 12:15p.m., staff 1 and 2 still did not realize that child 1 was missing from their group.

Corrected Corrected by Dec 13, 2023

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Staff 1 and 3 did not have health assessments on file. Staff 3 also did not have a TB screening on file.

Corrected Corrected by Oct 13, 2023

Category: ratio. 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). Facility Person #1 may not work in a child care position at the facility until the DHS FBI clearance is obtained. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility until the DHS FBI clearance is obtained.

During the renewal inspection on 10/11/2023, it was observed that staff 2 had a volunteer child abuse dated 8/4/2021. Please see LIS for date of hire.

Corrected Corrected by Oct 11, 2023

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The toddler room was missing medical tape in the first aid kit.

Corrected Corrected by Oct 11, 2023

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

3270.131(b)(1)/3270.131(e) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

During the renewal inspection on 10/11/2023, child 1, who is a young toddler, had a health assessment dated 2/9/2023. Child 1 also had outdated immunizations on file.

Corrected Corrected by Oct 11, 2023

Category: health medication. 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.

On 11/7/2022 at 4:55 p.m., staff 1 left child 1 on the playground after coming in from the outside playground. Staff 2 found the child on the playground approximately 3-5 minutes after staff 1's classroom left it.

Corrected Corrected by Dec 6, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity will have a staff meeting with all staff reviewing the supervision policy. The meeting agenda will be forwarded to the certification representative for approval and all staff will sign off stating that they have attended the meeting. Going forward, the supervision policy will also be reviewed with new staff.

On 11/7/2022 at 4:55 p.m., staff 1 left child 1 on the playground after coming in from the outside playground. Staff 2 found the child on the playground approximately 3-5 minutes after staff 1's classroom left it.

Corrected Corrected by Dec 6, 2022

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.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 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 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) 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 #1 may not work in a child-care position at the facility.

During a complaint investigation, staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: 10 hour health and safety training.

Corrected Corrected by Nov 8, 2022

Category: supervision. 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.

During a complaint investigation on 11/14/2022, it was found that the facility's last fire alarm testing occurred on 9/27/2022 making it more than 30 days since the last test.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff person 2 shall complete professional development in the topics of 3270.31(f) (10). Staff person #2 will have until 10/20/2022 to complete the required training. Until such time as the required training has been completed, staff person #2 will 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 2, staff person 2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training (see LIS code sheet): pediatric first aid/cpr training.

Corrected Corrected by Oct 20, 2022

Category: supervision. Marked corrected in the state record.

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

In the prek1-k1 room, the water temperature measured at 112 degrees.

Corrected Corrected by Nov 5, 2022

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Staff 1 only had one letter of reference on file.

Corrected Corrected by Oct 6, 2022

Category: recordkeeping. 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.

In the Kindergarten Prep room, there was peeling paint on the back wall. In the Preschool 1 room, there was peeling paint by back exit door.

Corrected Corrected by Oct 18, 2021

Category: physical safety. 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). Facility Person 1 and 6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1 and 6 may not work in a child care position at the facility.

Staff 1 and 6 had Department of Education clearances on file instead of Department of Human Services.

Corrected Corrected by Oct 13, 2021

Category: background checks. 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). Facility Person 1 and 6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1 and 6 may not work in a child care position at the facility.

Staff 1 and 6 had Department of Education clearances on file instead of Department of Human Services.

Corrected Corrected by Nov 1, 2021

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

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

During the annual inspection on 10/13/2021, the hot water was checked in the Kindergarten prep room. The hot water had steam coming from it and certification representative was not able to keep hand under the water.

Corrected Corrected by Oct 18, 2021

Category: physical safety. 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.

In the Kindergarten Prep bathroom, there was a hole behind the door where plaster was loose and falling to the ground.

Corrected Corrected by Oct 18, 2021

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.

The fence connecting both outside play areas had exposed bolts along the fence connecting them.

Corrected Corrected by Oct 18, 2021

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.

In Preschool 4, the cot list that was being utilized did not have numbers on it. In infant room B, cots were not labeled.

Corrected Corrected by Oct 13, 2021

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

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

In infant room B, staff 7 did not wash a child's hands after the child was diapered.

Corrected Corrected by Oct 13, 2021

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

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

Staff 3 received a health assessment on 10/12/2021 which was after her date of hire. Staff 4 received her health assessment on 9/23/2021, which was 30 days after her date of hire.

Corrected Corrected by Oct 13, 2021

Category: ratio. Marked corrected in the state record.

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

Staff five did not have hours of experience documented in file.

Corrected Corrected by Oct 13, 2021

Category: recordkeeping. Marked corrected in the state record.

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

On the fire inspection report, it stated that the duct smoke detector by the staff room in the hall was in trouble and needed clean up maintenance.

Corrected Corrected by Oct 14, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.136(d) · A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

Facility was notified of a COVID positive case on 9/18/2021. OCDEL was not notified until 9/23/2021 of the positive COVID-19 case.

Corrected Corrected by Sep 24, 2021

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