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 #5 must be supervised, when interacting with children, at a minimum by an AGS who has completed all pre-service trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

On 7/9/25, Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR training.

Corrected Corrected by Jul 25, 2025

Category: supervision. Marked corrected in the state record.

3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

On 7-9-25, the facility's office was locked with the staff files located inside and were unable to be accessed by staff persons at the facility for review by DHS certification representative.

Corrected Corrected by Jul 9, 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 #4 and #5 completed the following required pre-service training on 7-25-25 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

Corrected Corrected by Jul 25, 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). 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 file for staff person #5 had NSOR verification certificates that exceeded 60 months between certificates.

Corrected Corrected by Jul 15, 2025

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

3270.62(a) · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

On 7/9/25, the back room that was measured and previously used as the facility's play space was currently being used as child care space, resulting in the facility not having a measured play space for the children to use at the facility.

Corrected Corrected by Jul 9, 2025

Category: physical safety. 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.

On 7/9/25, in the large preschool/toddler room, there was an electrical outlet that lacked an outlet cover on the right wall that was accessible to children 5 years of age and younger. In the young toddler room, there was an electrical outlet that lacked two outlet covers and was accessible to children 5 years of age and younger.

Corrected Corrected by Jul 9, 2025

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.

On 7/9/25, In the bathroom in the first room with preschoolers, there was an unlocked cabinet that contained multiple toxics including Member's Mark Disinfectant Wipes and Odoban Disinfectant Spray that were labeled "Keep out of reach of children" and were accessible to children.

Corrected Corrected by Jul 9, 2025

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.

On 7/9/25, in the back area of the large preschool/toddler room, there was a cabinet with a top shelf that contained disinfectant spray and disinfectant wipes with multiple bags of food items stored on the same shelf, including vanilla wafers. In the young toddler room, there was a cabinet with a shelf that contained disinfectant spray and a bottle of hand sanitizer stored on the same shelf with multiple food items.

Corrected Corrected by Jul 9, 2025

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.

On 7/9/25, in the first room at the entrance with preschoolers, there were two shelves that each had a screw protruding out of the side of the shelf that had sharp edges and were a visible hazard. In the bathroom in the first room, the left faucet had a bolt protruding up from the back of the faucet that was a visible hazard. In the first room, the door handle to the bathroom was loose and coming apart from the door. In the back room/school-age room, the front wall had an electrical outlet that lacked the faceplate and had an opening in the wall around the outlet that exposed the wiring behind the outlet.

Corrected Corrected by Jul 9, 2025

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.

On 7/9/25, in the first room at the entrance, there was one area of damaged paint/plaster on the back wall. In the back room/school-age room, there were multiple areas of damaged paint/plaster near the steps on the left side of the room and an area of peeling paint on the left wall.

Corrected Corrected by Jul 9, 2025

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

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 7/9/25, at approximately 1:37 pm in the back room during naptime, a total of 40 children were present. Staff person #1 identified 20 preschool and school-age children in their group, staff person #2 identified 8 children in their group, including 2 older toddlers and 6 preschoolers, and staff person #3 identified 10 children in their group, including 5 older toddlers and 5 young toddlers, resulting in 2 children being omitted from a supervision group.

Corrected Corrected by Jul 9, 2025

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.

The file for staff person #4 lacked a health assessment and tuberculosis screening by the Mantoux method prior to providing initial service in a child care setting at the facility and requires a current health assessment and tuberculosis screening by the Mantoux method. The file for staff person #2 had a health assessment that was dated over 12 months prior to providing initial service in a child care setting at the facility and requires a current health assessment.

Corrected Corrected by Sep 26, 2025

Category: ratio. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

On 7/9/25, the facility's current certificate of compliance was not posted in a conspicuous location used by parents.

Corrected Corrected by Jul 9, 2025

Marked corrected in the state record.

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

According to staff statements, staff person #1, an aide, was left alone in a classroom with a child when the rest of the group was transitioning with a staff person to another room in the facility. During that time, staff person #1 was not supervised in the room by a staff person qualifying at minimum as an assistant group supervisor.

Corrected Corrected by Jan 7, 2025

Category: supervision. Marked corrected in the state record.

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

The first-aid kit in the preschool room was located in a backpack that was accessible to children.

Corrected Corrected by Nov 19, 2024

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. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 19, 2024

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The file for staff person #3 lacked current fire safety training completed within the last year. The file for staff person #8 had fire safety training that was dated over a year after their start date.

Corrected Corrected by Dec 12, 2024

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 #5, #7, and #8 completed the following required pre-service training on 11-5-24 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Staff person #7 completed the following required pre-service training on 11-4-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9).

Corrected Corrected by Nov 19, 2024

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

The file for staff person #8 lacked an FBI clearance at their start date and requires a current FBI clearance. The file for staff person #1 had a state police clearance that was dated after their start date. The file for staff person #2 had a state police clearance that was dated after their start date and lacked a disclosure statement. The file for staff person #4 had an NSOR verification certificate that was dated after their start date. The file for staff person #5, hired provisionally, had proof of application for the NSOR verification certificate at their start date and had an NSOR verification certificate dated 11-5-24 that was not within 45 days of their start date as required for a provisional hire (See LIS CODE SHEET). Staff person #5 had a disclosure statement that lacked the signature of a witness.

Corrected Corrected by Nov 19, 2024

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #6 will have until 12-18-24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Staff person #6 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6-25-19.

Corrected Corrected by Nov 19, 2024

Category: supervision. 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 file for staff person #1, functioning as a staff person, lacked verification of education to qualify as a staff person. The file for staff person #5, functioning as an assistant group supervisor, lacked verification of education to qualify as an assistant group supervisor.

Corrected Corrected by Jan 31, 2025

Category: supervision. Marked corrected in the state record.

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

The files for staff person #3 and #8 lacked a current staff evaluation completed by the director within the last 12 months.

Corrected Corrected by Nov 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

According to staff on 11-19-24, a director has not been present at the facility for a minimum of 30 hours per week since April 2024.

Corrected Corrected by Nov 19, 2024

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 preschool room, there were multiple areas with peeling paint on the back wall.

Corrected Corrected by Nov 19, 2024

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The emergency transportation plan was not posted in room #6 and the gross motor room.

Corrected Corrected by Nov 19, 2024

Category: transportation. 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 file for child #1, a young toddler, lacked a current health assessment dated within the last 6 months.

Corrected Corrected by Nov 19, 2024

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

3270.131(e)/3270.131(e)(3) · 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 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 #3 must be dismissed from care by close of business on 11-19-24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #3 lacked an immunization record within 60 days of the child's first day of attendance at the facility and requires a current immunization record. The files for child #4 and #5 had an immunization record that was dated over 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Nov 19, 2024

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.

The file for staff person #4 had a health assessment and a tuberculosis screening by the Mantoux method that were dated after the staff person provided initial service in a child care setting at the facility.

Corrected Corrected by Nov 19, 2024

Category: ratio. 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.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

Corrected Corrected by Nov 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The file for child #3 lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment. The files for child #2, #4, and #5 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Nov 19, 2024

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

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

In the Caterpillar (Special Needs) Room, at approximately 09:45, while three Older Toddlers and two Pre-School children were engaged in free play, Child #1 crawled under the half-moon table. Staff #1 immediately and quickly approached child #1, grabbed child #1 by the back of his pants and diaper and pulled him backwards and dragged him for approximately two to three feet. In the Caterpillar (Special Needs) Room, at approximately 10:36, while three Older Toddlers and two Pre-School children were engaged in free play, Staff Person #1 grabbed Child #2 by his left arm, above the elbow, lifted him off the floor and proceeded to carry him approximately five to six feet and child #2 was dropped and fell on his bottom.

Corrected Corrected by Apr 8, 2024

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 #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/Pediatric CPR.

Corrected Corrected by Dec 23, 2023

Category: supervision. 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 file for staff person #4 did not include documentation of application for a PA Criminal History clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the application was dated 10/28/23.

Corrected Corrected by Nov 29, 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. Facility Person #3 may not work in a child care position at the facility.

The file for staff person #3 does not include a child abuse clearance, (See IS CODE SHEET) required for CPSL compliance.

Corrected Corrected by Nov 29, 2023

Category: background checks. 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.

The infant, young toddler, older toddler, and preschool rooms did not contain emergency contact forms for the children receiving care in the room.

Corrected Corrected by Dec 23, 2023

Category: recordkeeping. 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 file for Staff person #1, classified as an Aide, does not include verification of a high school diploma or general educational development certificate; or a minimum of an 8th grade education and 2 years of child care experience. The file for Staff person #2, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate, 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children.

Corrected Corrected by Nov 16, 2023

Category: supervision. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

There was a low wall in the preschool room with rough, sharp edges from spackling material that posed a safety hazard.

Corrected Corrected by Nov 18, 2023

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.

There was peeling paint on a wall in the preschool that separates the room.

Corrected Corrected by Nov 18, 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.

There were broken ball and joint connecting toys in the preschool room, exposing sharp edges.

Corrected Corrected by Nov 16, 2023

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.

There was an infant in a crib in the infant room that was not labeled with the child's name.

Corrected Corrected by Nov 16, 2023

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

There was no posted written daily activity schedule posted in the preschool room or in the Infant room.

Corrected Corrected by Nov 20, 2023

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 #1 does not include a complete address for all listed release persons.

Corrected Corrected by Nov 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. 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 file for staff person #1 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #1 was dated 10/29/23.

Corrected Corrected by Nov 16, 2023

Category: ratio. 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 #5 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Corrected Corrected by Nov 17, 2023

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.

There were no infant feeding plans submitted by the parent for any of the 4 infants receiving care.

Corrected Corrected by Dec 23, 2023

Category: nutrition. 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 2nd toilet in the Room 2 (Older Toddler) bathroom.

Corrected Corrected by Aug 24, 2023

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

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

The emergency plan on site did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 24, 2023

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