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.

According to statements from staff, staff persons have been observed not supervising children appropriately while in the outdoor playspace. Staff state they have observed other staff on their phones or standing in a group talking to each other, rather than paying attention to the children. Staff also state that at times they have seen children on the playground unable to be seen by the staff supervising them, as the only staff with the group is either in a seated stationary position or standing near the fence talking to others on the other side of the fence, and there is equipment blocking the view of a portion of the playground.

Corrected Corrected by Oct 29, 2025

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.

Based on interviews it was determined that Staff Person #1 used harsh, demeaning or abusive language in the presence of children.

Corrected Corrected by Oct 31, 2025

Category: recordkeeping. 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 completed Pediatric First Aid/Pediatric CPR training; however, the First Aid/CPR card did not include the word "Pediatric" in the "Optional Modules Completed" section of the card. (See LIS Code Sheet)

Corrected Corrected by Oct 15, 2025

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2-- may not work in a childcare 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 #2--- may not work in a childcare position at the facility.

During the complaint investigation and while reviewing staff files, it was determined that Staff Person #2, who resided in New York State within the past five (5) years, lacked the required out-of-state clearances.

Corrected Corrected by Oct 21, 2025

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.

During a complaint investigation, and based on staff interviews, it was determined that in the Young Toddler Room, the childcare facility did not provide daily activities that promoted the development of skills, social competence, and self-esteem for a younger toddler.

Corrected Corrected by Apr 3, 2025

Category: background checks. 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: 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.

According to staff statements, there are occasions when children are dropped off at the center by parents in the morning, and the additional child or children put the particular group out of ratio when the parents leave the classroom. The group remains out of a ratio for a few minutes while classroom staff alert center administration and until staffing is adjusted.

Corrected Corrected by Feb 13, 2025

Category: ratio. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There were uncovered outlets on a power strip on the floor in the schoolage room.

Corrected Corrected by Nov 22, 2024

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 facility's emergency plan did not include a plan for continuity of operations in the event of an emergency.

Corrected Corrected by Dec 19, 2024

Category: ratio. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures specified in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to the parents explaining the emergency plan did not include information regarding the facility's plan for a lockdown or accommodations in the event of an emergency.

Corrected Corrected by Dec 19, 2024

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). 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.

The child abuse clearance on file for Facility Person #4 dated after their start date in a child care position.

Corrected Corrected by Nov 22, 2024

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.

The files for Facility Persons #2, #5 and #6 did not include documentation of either the required education and/or child care experience to serve as their indicated staff classifications.

Corrected Corrected by Nov 26, 2024

Category: recordkeeping. 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.

There were two unlocked drawers of sunscreen, in reach of children, in the schoolage room. There were sunscreens in the drawers labeled, "keep out of reach of children."

Corrected Corrected by Nov 22, 2024

Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

There was a bottle of a cleaner in the older toddler room not labeled with the contents.

Corrected Corrected by Nov 22, 2024

Category: ratio. Marked corrected in the state record.

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

There was a child's medication (Claritin) kept in the office that was not in the original container.

Corrected Corrected by Nov 22, 2024

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.

The current health assessments on file for Facility Persons #1 and #3 were each completed more than 24 months after the previous health assessment on file for the facility person.

Corrected Corrected by Nov 22, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The program's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Dec 19, 2024

Category: physical safety. 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 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 10/22/23.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

The file for Staff person #3 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid.

Corrected Corrected by Nov 15, 2023

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). 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.

The NSOR on file for Staff person #4, who is a volunteer, was applied for on 7/24/23, after the first day with children; Volunteers may not be provisional hires (See LIS Code sheet). The completed NSOR is dated 10/12/23.

Corrected Corrected by Nov 15, 2023

Category: background checks. 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.

There was no handwashing sign at the sink in the girl's bathroom in the School-age room.

Corrected Corrected by Nov 15, 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.

There were googly eyes measuring smaller than 1 inch in size, reportedly used for craft projects, in the 1-yr old classroom.

Corrected Corrected by Nov 15, 2023

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.

There were approximately 3-4 children in the PreK 2room who did not have rest equipment, but laid on an area rug during quiet time.

Corrected Corrected by Nov 16, 2023

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.

There was no thermometer in the refrigerator in the School-age room, where children's lunches are stored.

Corrected Corrected by Nov 15, 2023

Category: nutrition. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form on file for Child #1 does not include the telephone number for the child's pediatrician or source of medical care.

Corrected Corrected by Nov 15, 2023

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

There was a child who was observed receiving care in the Transition classroom without their emergency contact form being in the classroom.

Corrected Corrected by Nov 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #1, who is a preschool age child, are dated 7/27/22 and 8/17/23, more than 12 months apart. The two most recent health assessments on file for Child #2, who is a preschool age child, are dated 8/31/22 and 9/13/23, more than 12 months apart.

Corrected Corrected by Nov 15, 2023

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

3270.151(c)(5)/3270.192(3) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The health assessment on file for Staff person #2 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Corrected Corrected by Nov 16, 2023

Category: health medication. 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 alarm 30-day test log includes test dates 8/27/23-9/27/23, more than 30 days apart.

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

There was a child observed receiving care in the Preschool without their emergency contact form being in the classroom.

Corrected Corrected by Nov 16, 2022

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 emergency plan on site does not include provisions regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

Corrected Corrected by Jan 13, 2023

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 #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet):Pediatric First Aid/Pediatric CPR.

Corrected Corrected by Dec 5, 2022

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form on file for Child #2 does not include a complete address for all listed release persons.

Corrected Corrected by Jan 5, 2023

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 #2, #3 may not work in a child care position at the facility.

The file for staff person #2 does not include documentation of application of a Maryland child abuse clearance or Maryland Sex Offender registry search prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #3 does not include documentation of application of a Minnesota child abuse clearance or Minnesota Sex Offender registry search prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

Corrected Corrected by Dec 22, 2022

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

3270.66(e) · Arts and crafts materials shall be nontoxic.

There was shaving cream, labeled "Keep out of the reach of children", used for arts and crafts projects, in the Preschool classroom.

Corrected Corrected by Nov 16, 2022

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 (formerly School-age) room did not include gloves.

Corrected Corrected by Nov 16, 2022

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.

There was an uncovered fence bolt on the gate leading from the toddler playground to the preschool playground, which creates a potential hazard for a child.

Corrected Corrected by Nov 16, 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.

Peeling paint was observed in the Older Toddler room by the bookshelf, which was accessible to children.

Corrected Corrected by Nov 16, 2022

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

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form on file for Child #1, #2, #3, and #4 does not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Nov 17, 2022

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

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The most recent health assessment on file for Child #2, who is an Infant, is dated 3/23/22, more than 6 months ago.

Corrected Corrected by Jan 3, 2023

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The most recent influenza vaccination on file for Child #5, who is 4 years old, is dated 1/27/20, is dated more than 1 year ago, and is recommended annually by the ACIP.

Corrected Corrected by Nov 16, 2022

Category: health medication. 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.

While in the Older Toddler room, children were observed being fed their lunches without washing their hands prior to eating.

Corrected Corrected by Nov 16, 2022

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.

The initial health assessment on file for Staff person #4 is not valid, as Questions #1, #2, and #3 were not answered by the examining health care professional.

Corrected Corrected by Dec 5, 2022

Category: ratio. Marked corrected in the state record.

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

The initial health assessment on file for Staff person #1 does not indicate that the staff person was examined for communicable/contagious disease. (See LIS Code Sheet).

Corrected Corrected by Nov 18, 2022

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

There were 3 infant feeding bottles observed in the Infant room that were not labeled with the child's name for whom the bottles were intended.

Corrected Corrected by Nov 16, 2022

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 30 day test log for the fire detection system includes tests date 1/8/22 and 2/16/22, more than 30 days apart.

Corrected Corrected by Nov 16, 2022

Category: recordkeeping. Marked corrected in the state record.

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

On the outdoor toddler play space on the ledge near the door to the facility, there was a screwdriver that had sharp edges and was accessible to children.

Corrected Corrected by Dec 10, 2021

Category: health medication. 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 file for staff person #2 lacked current fire safety training completed within the last year.

Corrected Corrected by Dec 20, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development in the following topics within 90 days of hire: Pediatric first aid and pediatric cardiopulmonary resuscitation.

The file for staff person #1, with a start date of 1-18-21, lacked pediatric first-aid and CPR training within 90 days of their start date and requires current training.

Corrected Corrected by Dec 16, 2021

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

The file for staff person #3, hired provisionally with a start date of 11-9-21, lacked the out of state Criminal History check or application for the Criminal History check at their start date and requires a current out of state Criminal History check.

Corrected Corrected by Dec 10, 2021

Category: background checks. 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 2 year old room, there was peeling paint in multiple areas towards the corner and along the yellow wall near the cots. In the preschool room, there was peeling paint in one area on the left wall above the cots. In the pre-k room, there was peeling paint on the green wall in one area near the cots, on the back wall in multiple areas, and near the middle corner area in multiple areas.

Corrected Corrected by Dec 10, 2021

Category: physical safety. 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.

On the preschool/pre-k play space, there were covers on both of the benches of the picnic table that had tears in multiple areas.

Corrected Corrected by Dec 10, 2021

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

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The file for child #4 had an agreement that lacked the fee amount.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #4 had an agreement that lacked the child's arrival and departure times.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for child #1 had an emergency contact form that lacked the address and telephone number of the child's physician.

Corrected Corrected by Dec 10, 2021

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file for child #5 had an emergency contact form that lacked the name of the health insurance and the policy number.

Corrected Corrected by Dec 20, 2021

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

3270.131(e) · 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.

The file for child #3, with a start date of 8-19-21, lacked an immunization record within 60 days of their start date and requires a current immunization record.

Corrected Corrected by Dec 17, 2021

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

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The files for child #2, with a start date of 3-29-21, and child #3, with a start date of 8-19-21, lacked an initial health assessment within 90 days of their start date and require a current health assessment. (The suspended regulation requires the parent to provide an initial health assessment no later than 90 days following the first day of attendance at the facility.)

Corrected Corrected by Dec 17, 2021

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