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.

2ND CITATION: The file for staff person #1 had an outdated disclosure statement form and lacked the current disclosure statement form. (See LIS CODE SHEET) PREVIOUSLY CITED ON 11-7-25.

Corrected Corrected by Jan 30, 2026

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

3270.51 · Tiered LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The director/owner shall post signs at all child care space entrances/exits that remind staff to check ratio prior to leaving a child care space or child care group. The correction date for this portion of the plan is to be within two weeks of acceptance of the plan of correction. 3. The director and the owner shall attend Existing Provider training conducted by the Western Regional Office on January 21, 2026. (The director/owner shall call the Western Regional Office to register.) The correction date for this portion of the plan shall be the date the training is completed.

2nd CITATION: On 11-7-25 at approximately 12:05 p.m., child #1, a 3 year old, was observed walking from the back preschool room into the middle room to wash their hands with no staff present in the middle room and was in the room alone for approximately 45 seconds. As a result, there was a 0 to 1 staff to child ratio. Staff person #1 and #2, who were in the back preschool room, were unaware that child #1 had entered the middle room. PREVIOUSLY CITED ON 8-14-25.

Corrected Corrected by Jan 30, 2026

Category: ratio. Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

According to staff statements and observations, there was a wooden shelf in the room that was blocking the entrance/exit of the toddler room.

Corrected Corrected by Nov 7, 2025

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 #1 had an outdated disclosure statement form and lacked the current disclosure statement form. (See LIS CODE SHEET)

Corrected Corrected by Nov 7, 2025

Category: background checks. 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.

In the middle room, there was a power strip that lacked three outlet covers and was accessible to children 5 years of age and younger.

Corrected Corrected by Nov 7, 2025

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 the outdoor play space, there were empty soda cans and food/chip bags and containers that were on the ground in the play space.

Corrected Corrected by Nov 28, 2025

Category: nutrition. 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 toddler room, there were a couple areas of peeling paint on the wall.

Corrected Corrected by Nov 7, 2025

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

3270.113(a) · Tiered LIS: 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. This portion of the plan shall have an immediate correction date. 2. Participate in a minimum of 2 onsite technical assistance sessions conducted by ELRC #5 to discuss room layouts and classroom environment. The correction date of this portion of the plan is to be within two months of the acceptance of the plans of correction.

2nd CITATION: On 11-7-25 at approximately 12:05 p.m., child #1, a 3 year old, was observed walking from the back preschool room into the middle room to wash their hands with no staff present in the middle room and was in the room alone for approximately 45 seconds. Staff person #1 and #2, who were in the back preschool room, were unaware that child #1 had entered the middle room and were unable to see, hear, direct, and assess child #1. PREVIOUSLY CITED ON 8-14-25.

Corrected Corrected by Mar 13, 2026

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Tiered LIS: 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. This portion of the plan shall have an immediate correction date. 2. Participate in a minimum of 2 onsite technical assistance sessions conducted by ELRC #5 to review best practices for supervision. The correction date of this portion of the plan is to be within two months of the acceptance of the plans of correction. 3. The owner and director shall hold mandatory, monthly staff meetings for a period of four months from the acceptance of the plans of correction, which shall include all staff persons, to discuss supervision/ratio violations that have been issued within the past 12 months, including current violations, under this regulation. Documentation including a dated agenda, topics/violations discussed and a signed attendance sheet for each monthly meeting will be kept with facility files and will be made available to OCDEL/Certification representatives upon request. The correction date for this portion of the plan shall be a minimum four months from the date of acceptance of the plans of correction.

2nd CITATION: On 11-7-25 at approximately 12:05 p.m., child #1, a 3 year old, was observed walking from the back preschool room into the middle room to wash their hands with no staff physically present in the middle room and was in the room alone for approximately 45 seconds. Staff person #1 and #2, who were in the back preschool room, were unaware that child #1 had entered the middle room. PREVIOUSLY CITED ON 8-14-25.

Corrected Corrected by May 23, 2026

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #3 had mandated reporter trainings dated 6-16-20 and 6-25-25 that were over 60 months between trainings.

Corrected Corrected by Oct 24, 2025

Category: recordkeeping. 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.

On 8-14-25 at approximately 12:07 p.m. in the upstairs room during naptime, there were 4 preschoolers observed alone in the room on rest equipment for approximately 5-10 seconds without a staff person present in the room resulting in a 0 to 4, staff to child ratio. Then, staff person #4 walked into the room from the back hallway to supervise the children.

Corrected Corrected by Aug 14, 2025

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).

On 8-14-25 at approximately 12:05 p.m. with a total of 8 children in the toddler area, staff person #5 named 8 children in their group, including 7 older toddlers and 1 preschooler, resulting in staff person #5 being out of ratio. The 7 older toddlers were on rest equipment for naptime, and the preschooler was sitting in a chair and not on rest equipment, resulting in napping ratios not being applicable due to the preschool child that was not on rest equipment.

Corrected Corrected by Aug 14, 2025

Category: ratio. Marked corrected in the state record.

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

On 8-14-25 at approximately 12:07 p.m. in the upstairs room during naptime, there were 4 preschoolers observed alone in the room on rest equipment for approximately 5-10 seconds without a staff person present in the room. Then, staff person #4 walked into the room from the back hallway to supervise the children.

Corrected Corrected by Oct 24, 2025

Category: supervision. 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 8-14-25 at approximately 12:07 p.m. in the upstairs room during naptime, there were 4 preschoolers observed alone in the room on rest equipment for approximately 5-10 seconds without a staff person present in the room. Then, staff person #4 walked into the room from the back hallway to supervise the children. On 8-14-25, staff person #6 and #7 were observed on an excursion leaving the nearby high school with 18 school-age and preschool children and were walking back to the facility. Staff person #6 and #7 both stated that they were sharing the group of 18 children, with staff person #6 naming all 18 children, and staff person #7 naming 16 of the 18 children and stated that they did not know 2 of the children's names.

Corrected Corrected by Aug 14, 2025

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. Staff Person #1 may not work in a child care position at the facility.

The file for staff person #1 had an NSOR verification certificate dated 8-5-20 and lacked a current NSOR verification certificate updated within the last 60 months. The file for staff person #2 had child abuse clearances dated 6-16-20 and 7-2-25 that were over 60 months between clearances.

Corrected Corrected by Sep 23, 2025

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.

2nd CITATION: In the upstairs room, there were multiple areas of peeling paint on the back and right walls, and there were multiple areas of peeling paint on the two corners near the boys' bathroom in the hallway leading from the room to the bathroom. In the back room downstairs, there were a couple areas of peeling paint near the door to the room. PREVIOUSLY CITED ON 6-11-25.

Corrected Corrected by Jul 16, 2025

Category: physical safety. 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.

In the upstairs sink/counter area in the kitchen near the bathrooms, there were a sharp knife and a pitchfork utensil that had sharp edges and were accessible to children.

Corrected Corrected by Jun 26, 2025

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

3270.31(e)(4)(i) · 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.

The file for staff person #3 had current pediatric first-aid/CPR training with a completion date of 11-23-24 that was after the October 2024 expiration of the prior training.

Corrected Corrected by Jun 26, 2025

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

The file for staff person #1 had an invalid state police clearance that lacked the disseminated date and requires a current state police clearance updated within the last 60 months. The file for staff person #1 had child abuse clearances and NSOR verification certificates that exceeded 60 months between clearances/certificates. The file for staff person #2 had state police clearances, FBI clearances, and NSOR verification certificates that exceeded 60 months between clearances/certificates.

Corrected Corrected by Jun 26, 2025

Category: background checks. 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 the outdoor play space, there were 4 bolts on the inside of the fence near the gate and right corner that were protruding out and were a visible hazard. In the upstairs back stairwell, the windowsill had cobwebs and visible dirt.

Corrected Corrected by Jun 26, 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.

There were a couple areas of peeling paint upstairs on the left side of the hallway leading to the bathrooms and a couple areas on the right wall near the baseboard in the girls' bathroom.

Corrected Corrected by Jun 26, 2025

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

In the infant room with a 1 year old that was walking and able to wash their hands, the sink next to the changing table had a stepstool that was at a height that the child was unable to reach the sink after diapering to wash their hands.

Corrected Corrected by Jun 26, 2025

Category: health medication. 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 file for staff person #2 had a health assessment that said "Yes" to having any communicable diseases and lacked an explanation of the results of the examination.

Corrected Corrected by Jun 26, 2025

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.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 5-9-25 to 6-9-25.

Corrected Corrected by Jun 26, 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. Until such time as the required pre-service trainings are completed, staff person #4 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 #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training in the topics of 3270.31(f)(1-9).

Corrected Corrected by Jul 1, 2024

Category: supervision. 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, and children with disabilities.

Corrected Corrected by Jul 1, 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 had fire safety training that exceeded a year between trainings.

Corrected Corrected by Jul 1, 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). 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 #1 may not work in a child care position at the facility.

The file for staff person #1 had an invalid state police clearance and requires a current state police clearance. The file for staff person #1 had a disclosure statement that was dated after their start date at the facility. The file for staff person #4 had a disclosure statement that lacked the signature of a witness.

Corrected Corrected by Jun 28, 2024

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

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

The file for staff person #3 had a staff evaluation that exceeded 12 months between evaluations.

Corrected Corrected by Jul 1, 2024

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.

On the outdoor play space, there were several sharp edges of metal on the right wall of the building that were accessible to children.

Corrected Corrected by Jun 28, 2024

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.

In the school-age room, there was damaged paint and plaster in one area on the wall.

Corrected Corrected by Jun 28, 2024

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

3270.92(a) · Portable space heaters are not permitted.

There was a portable space heater observed in the office area in the front of the building.

Corrected Corrected by Jun 28, 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.

In the toddler room with young and older toddlers present in the room, there were two large fabric blocks that had multiple tears with small pieces coming apart from the blocks with a diameter of less than 1 inch and were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jun 28, 2024

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 #1 had an agreement that lacked the fee amount.

Corrected Corrected by Jun 28, 2024

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 file for child #3, a preschooler, had a health assessment that exceeded 12 months between assessments.

Corrected Corrected by Jun 28, 2024

Category: health medication. 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 #2 must be dismissed from care by close of business on 6-28-24 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 #2, a 2 year old enrolled more than 60 days at the facility, lacked documentation of the 3rd Hepatitis B and 4th DTAP vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Jul 1, 2024

Category: health medication. 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 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility. The files for staff person #2 and #3 had a health assessment that exceeded 24 months between assessments.

Corrected Corrected by Jul 10, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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 #1 had a tuberculosis screening by the Mantoux method that was dated after their initial employment at the facility.

Corrected Corrected by Jul 1, 2024

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.

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 Jun 28, 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 #2 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 Jun 28, 2024

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

3270.192(4) · 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 #3 did not contain the previously viewed Criminal history clearance, child abuse clearance, and FBI clearance, which were dated 5/11/15, 5/14/15, and 4/30/15, respectively. The file for Staff person #6 did not contain the previously viewed Criminal history clearance, child abuse clearance, which were dated 8/2/17 and 8/4/17, respectively. The file for Staff person #7 did not contain the previously viewed Criminal history clearance, child abuse clearance, and FBI clearance, which were dated 8/29/15, 6/18/15, and 9/25/15, respectively.

Corrected Corrected by Jul 31, 2023

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.

The Health and Safety professional development training update on file for Staff person #2 is dated 2/27/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #3 is dated 2/22/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #4 is dated 1/12/23, after the deadline of 12/30/22, as per Announcement C-22-06. The file for Staff Person #6 did not contain the Pa. Health and Safety update 2022 which was required to be completed by 12.30.22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #7 is dated 2/28/23, after the deadline of 12/30/22, as per Announcement C-22-06.

Corrected Corrected by Aug 15, 2023

Category: ratio. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The 2 most recent emergency plan trainings on file for Staff person #7 are dated 5/10/22 and 6/6/23, more than 1 year apart.

Corrected Corrected by Jun 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The 2 most recent fire safety training certificates on file for Staff person #6 are dated 10/16/20 and 10/22/22, more than 1 year apart. The 2 most recent fire safety training certificates on file for Staff person #7 are dated 1/24/22 and 2/28/23, more than 1 year apart.

Corrected Corrected by Jun 28, 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). Facility Person #1, #5 may not work in a child care position at the facility.

The Disclosure statement on file for Staff person #1 does not include a witness signature. The file for Staff person #5, who was re-hired, does not include a signed Disclosure statement, signed at the time of re-hire (See LIS code sheet). The criminal history clearance on file for Staff person #5 is incomplete, making it invalid; and the FBI clearance on file includes a RAP sheet with charges that do not have a disposition, making it invalid.

Corrected Corrected by Jul 27, 2023

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 protective services).

Staff person #3 completed mandated reporter training on 1/9/23, more than 60 months after the previous training, dated 10/28/17.

Corrected Corrected by Jun 28, 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, and #5 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 and 15 credits in education or a related human services field and 1 year of verified child care experience; or a high school diploma or a general educational development certificate with 2 years of verified child care experience.

Corrected Corrected by Jun 28, 2023

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 file for Staff person #7, who has been employed for more that 1 year, does not include a staff evaluation (See LIS code sheet)

Corrected Corrected by Jul 27, 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.

There were area rugs in the Toddler area that were not tacked down and caused a tripping hazard as they were frequently kicked up or bunched up, creating a tripping hazard. There were missing ceiling tiles in the preschool area that had been removed during roof and water damage repairs and had not been replaced.

Corrected Corrected by Jul 31, 2023

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

There was no running water for handwashing in the infant diapering area.

Corrected Corrected by Jun 28, 2023

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

There were foam blocks in the Infant area and in the Toddler area that had teeth marks and small chunks that had broken off.

Corrected Corrected by Jun 28, 2023

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.

During a supervision and ratio check at nap time, Staff person #1 , who was supervising 1 young toddler and 4 older toddlers, could not name 2 of the 5 children.

Corrected Corrected by Jul 31, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for Child #3, with an admission date of 9/19/22, more than 6 months ago, does not include a Child Service Report.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file for Child #4 does not include written parental permission for the facility to obtain emergency medical care.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. 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 emergency contact form on file for Child #3 does not include the child's health insurance policy number for the child's health care benefits.

Corrected Corrected by Jul 31, 2023

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 #1 and #2 does not include a complete address for all listed release persons.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · ·Child #1, #4, and #5 must be dismissed from care by close of business on 6/28/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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).

The most recent influenza vaccination on file for Child #1, who is 3 years old, is dated 2/16/21, more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #4, who is 3 years old, includes 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age, and a most recent influenza vaccination, which is recommended annually, dated 1/8/21, more than 1 year ago. The most recent influenza vaccination on file for Child #5, who is 5 years old, is dated1/25/19, more than 1 year ago, and is recommended annually by the ACIP.

Corrected Corrected by Jul 31, 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.

The Infant diapering area does not have a hands-free, lined, lidded can for the disposal of diapers.

Corrected Corrected by Jul 31, 2023

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

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During an observed diaper change in the Infant area, a staff person did not wash their hands following the diaper change.

Corrected Corrected by Jun 28, 2023

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for Child #4 does not include written parental permission for the facility to administer minor first aid procedures.

Corrected Corrected by Jul 31, 2023

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.

The most recent 30-day fire alarm test on file is dated 4/13/23, more than 30 days ago.

Corrected Corrected by Jul 31, 2023

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 #4, with an enrollment date of 3/6/23, more than 60 days ago, does not include a valid health assessment.

Corrected Corrected by Jul 31, 2023

Category: health medication. 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.

There was no gate at the top of the stairs on the 2nd floor, where 4 older toddlers were receiving care.

Corrected Corrected by Aug 10, 2022

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

3270.31(e)(1)(iii)/3270.192(2)(iii) · Training conducted in conferences or workshops is acceptable and may count toward the annual requirement for 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #2 includes 8 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #7 includes 9 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09.

Corrected Corrected by Aug 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4 will have until 8/16/22 to complete the required trainings. Until such time as the required training has been completed, staff person #4 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 available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #2 and Staff person #7 worked between 4/29/22-5/12/22 without having completed a PQAS approved Pediatric First Aid/CPR course taught by a PQAS approved instructor. Staff person #4 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 and Get Started with Center-based Care: Building Blocks for Quality.

Corrected Corrected by Aug 10, 2022

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. Facility Person #1, #4 may not work in a child care position at the facility.

The file for staff person #1 was observed not to include a rap sheet with the FBI clearance, which indicated the person has a record (See IS CODE SHEET) required for CPSL compliance. The file for staff person #4 was observed not to contain a valid NSOR certificate within 45 days of hire (See IS CODE SHEET).

Corrected Corrected by Aug 10, 2022

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 protective services).

The 2 most recent mandated reporter training certificates on file for Staff person #2 are dated 5/29/15 and 6/16/20, more than 60 months apart. The signed disclosure statement on file for Staff person #3, #5, #6 are not dated, making them invalid. The file for Staff person #4 does not include a signed disclosure statement (See LIS Code Sheet).

Corrected Corrected by Aug 10, 2022

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 #3, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience. The file for Staff person #4 and Staff person #6, both classified as Assistant Group Supervisors do not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or i high school diploma or a general educational development certificate and 15 credits in education or a related human services field and 1 year of verified child care experience; or a high school diploma or a general educational development certificate with 2 years of verified child care experience.

Corrected Corrected by Aug 15, 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).

While assessing supervision and ratio in the school age classroom, a staff person named 13 young and older school age children.

Corrected Corrected by Jun 22, 2022

Category: supervision. 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.

The cribs in the infant room are not labeled for use by a specific child.

Corrected Corrected by Jun 22, 2022

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During the renewal inspection, the refrigerator in the infant room was observed to not be closed fully, due to a milk jug preventing the refrigerator from closing completely, and the temperature measuring over 60 degrees Fahrenheit; while there was milk in the refrigerator.

Corrected Corrected by Jun 22, 2022

Category: nutrition. 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 immunization record on file for Child #1, who is 2 years old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age. The most recent influenza vaccination on file for Child #2, who is 4 years old, is dated 1/25/19, more than 1 year ago, as is recommended annually by the ACIP. The immunization record on file for Child #3, who is 4 years old, includes 1 of 4 HIB vaccines recommended for a child this age by the ACIP. The immunization record on file for Child #4, who is 2 years old, includes 2 of 4 DTAP vaccines, 0 of 4 HIB vaccines, 2 of 4 Pneumococcal vaccines, 2 of 3 Polio vaccines, and 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Aug 16, 2022

Category: health medication. 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 initial health assessment on file for Staff person #3 does not indicate that a physical examination was conducted by the health care provider (See LIS Code Sheet).

Corrected Corrected by Aug 10, 2022

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

The file for Staff person #4 does not include two written, nonfamily references from individuals attesting to the person's suitability to work in a child care position. The file for Staff person #6 includes just one written, nonfamily references from individuals attesting to the person's suitability to work in a child care position.

Corrected Corrected by Aug 16, 2022

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.

There was no written documentation of an emergency drill being conducted prior to 12/19/21, as per updates to Chapter 3270 regulations, effective 12/19/20.

Corrected Corrected by Aug 16, 2022

Category: recordkeeping. Marked corrected in the state record.